person
Mr. Christopher E Dougherty, LPCC
Professional Counselor in Pataskala, Ohio
NPI 1871939777

Christopher E Dougherty is a Professional Counselor based in Waycross, OH and is specialized in Professional. Christopher E Dougherty practices in Pataskala, OH and has the professional credentials of LPCC. The NPI Number for Christopher E Dougherty is 1871939777 and holds a License No. E110310 (Ohio).

The current practice location address for Christopher E Dougherty is 131 Oak Meadow Dr # 102, Pataskala, OH and can be reached out via phone at 614-835-6068 and via fax at 614-524-0428.

Location: 131 Oak Meadow Dr # 102, Pataskala, OH, 31501-6927
person
Provider Profile Details
NPI Number
1871939777
Provider Name
Christopher E Dougherty
Credential
LPCC
Provider Entity Type
Individual
Gender
Male
Address
131 Oak Meadow Dr # 102, Pataskala, OH, 31501-6927
Phone Number
614-835-6068
Fax Number
614-524-0428
Provider Enumeration Date
05/17/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0074861 01 OH MEDICAID LEGACY NUMBER CHEMICAL DEPENDECY
0213234 05 OH
0074946 01 OH MEDICAID LEGACY NUMBER MENTAL HEALTH
0074861 05 OH
0074946 05 OH
H130910 01 OH MEDICARE GROUP PTAN NUMBER
institution
Provider Business Practice Location Address Details
Address
131 Oak Meadow Dr # 102
City
State
Zip
43062-9812
Phone Number
614-835-6068
Fax Number
614-524-0428
person
Provider Business Mailing Address Details
Address
131 Oak Meadow Dr # 102
City
State
Zip
43062-9812
Phone Number
614-835-6068
Fax Number
614-524-0428
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC012508 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
E110310 (Ohio)
Definition
Definition to come...
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