Dougherty, Kathleen Helen

Dougherty, Kathleen Helen is an individual health care provider with primary practice located at 14700 Manzanita Park Rd , Beaumont CA 92223. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Dougherty, Kathleen Helen can be contacted via phone (951) 845-3155.

Contact Information

Primary practice address
14700 Manzanita Park Rd Beaumont CA 92223
Fax: (951) 845-8412
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 49121 California

Profile Details

NPI number 1235492786
LBN Legal business name Dougherty, Kathleen Helen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2012
Last updated Jun 20th, 2012 - about 12 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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