person
Irene M Dougherty, LPC
Professional Counselor in Philadelphia, Pennsylvania
NPI 1104000157

Irene M Dougherty is a Professional Counselor based in Philadelphia, PA and is specialized in Professional. Irene M Dougherty practices in Philadelphia, PA and has the professional credentials of LPC. The NPI Number for Irene M Dougherty is 1104000157 and holds a License No. PC003468 (Pennsylvania).

The current practice location address for Irene M Dougherty is 407 Fairmount Ave, Philadelphia, PA and can be reached out via phone at 215-796-2481 and via fax at 215-627-6766.

Location: 407 Fairmount Ave, Philadelphia, PA, 19123-2807
person
Provider Profile Details
NPI Number
1104000157
Provider Name
Irene M Dougherty
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
407 Fairmount Ave, Philadelphia, PA, 19123-2807
Phone Number
215-796-2481
Fax Number
215-627-6766
Provider Enumeration Date
12/27/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
407 Fairmount Ave
City
State
Zip
19123-2807
Phone Number
215-796-2481
Fax Number
215-627-6766
person
Provider Business Mailing Address Details
Address
407 Fairmount Ave
City
State
Zip
19123-2807
Phone Number
215-796-2481
Fax Number
215-627-6766
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
PC003468 (Pennsylvania)
Definition
Definition to come...
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