Dougherty, Christopher E
Dougherty, Christopher E is an individual health care provider with primary practice located at 131 Oak Meadow Dr # 102 , Pataskala OH 43062-9812. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Dougherty, Christopher E can be contacted via phone (614) 835-6068.Contact Information
Primary practice address
131 Oak Meadow Dr # 102
Pataskala OH 43062-9812
Phone: (614) 835-6068
Fax: (614) 524-0428
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | E110310 | Ohio |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC012508 | Georgia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | E.1100310 | Ohio |
Profile Details
| NPI number | 1871939777 |
|---|---|
| LBN Legal business name | Dougherty, Christopher E |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2013 |
| Last updated | Dec 4th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871939777 | NPPES |
| Ohio | Other | 0074861 | MEDICAID LEGACY NUMBER CHEMICAL DEPENDECY |
| Ohio | MEDICAID | 0213234 | MEDICAID LEGACY NUMBER CHEMICAL DEPENDECY |
| Ohio | Other | 0074946 | MEDICAID LEGACY NUMBER CHEMICAL DEPENDECY |
| Ohio | MEDICAID | 0074861 | MEDICAID LEGACY NUMBER CHEMICAL DEPENDECY |
| Ohio | MEDICAID | 0074946 | MEDICAID LEGACY NUMBER CHEMICAL DEPENDECY |
| Ohio | Other | H130910 | MEDICAID LEGACY NUMBER CHEMICAL DEPENDECY |
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