Dougherty, John

Dougherty, John is an sole proprietor health care provider with primary practice located at 108 W Firetower Rd Ste D , Winterville NC 28590-8408. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities is his primary health care specialty. Dougherty, John can be contacted via phone (252) 830-3300.

Contact Information

Primary practice address
108 W Firetower Rd Ste D Winterville NC 28590-8408
Phone: (252) 830-3300
Fax: (252) 830-3322
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 411 North Carolina
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 1094 North Carolina

Profile Details

NPI number 1881711026
LBN Legal business name Dougherty, John
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2007
Last updated Oct 17th, 2013 - about 13 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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