Dougherty, Jill Regina
Dougherty, Jill Regina is an sole proprietor health care provider with primary practice located at 1800 35Th Street, Se , Rio Rancho NM 87124. She 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 her primary health care specialty. Dougherty, Jill Regina can be contacted via phone (505) 892-8640.Contact Information
Primary practice address
1800 35Th Street, Se
Rio Rancho NM 87124
Phone: (505) 892-8640
Fax: (505) 892-4658
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0099771 | New Mexico |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0122691 | New Mexico |
Profile Details
| NPI number | 1104912930 |
|---|---|
| LBN Legal business name | Dougherty, Jill Regina |
| Credentials | MA, LPCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2006 |
| Last updated | May 15th, 2009 - about 15 years ago |
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.
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