person
James P Dougherty, CRPS
Peer Specialist in Homestead, Florida
NPI 1225707367

James P Dougherty is a Peer Specialist based in Homestead, FL. James P Dougherty practices in Homestead, FL and has the professional credentials of CRPS. The NPI Number for James P Dougherty is 1225707367 and holds a License No. CRPS100236-A (Florida).

The current practice location address for James P Dougherty is 1020 N Krome Ave, Homestead, FL and can be reached out via phone at 786-243-1003 and via fax at 786-243-0503.

Location: 1020 N Krome Ave, Homestead, FL, 33030-4411
person
Provider Profile Details
NPI Number
1225707367
Provider Name
James P Dougherty
Credential
CRPS
Provider Entity Type
Individual
Gender
Male
Address
1020 N Krome Ave, Homestead, FL, 33030-4411
Phone Number
786-243-1003
Fax Number
786-243-0503
Provider Enumeration Date
09/11/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CRPS100236-A 01 FL FLORIDA CERTIFICATION BOARD
institution
Provider Business Practice Location Address Details
Address
1020 N Krome Ave
City
State
Zip
33030-4411
Phone Number
786-243-1003
Fax Number
786-243-0503
person
Provider Business Mailing Address Details
Address
1020 N Krome Ave
City
State
Zip
33030-4411
Phone Number
786-243-1003
Fax Number
786-243-0503
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
CRPS100236-A (Florida)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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