Raper, Colleen Dougherty

Raper, Colleen Dougherty is an sole proprietor health care provider with primary practice located at 4205 Dewfield Dr N , Wilson NC 27896-8975. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Raper, Colleen Dougherty can be contacted via phone (252) 237-1514.

Contact Information

Primary practice address
4205 Dewfield Dr N Wilson NC 27896-8975
Phone: (252) 237-1514
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 167 North Carolina
Behavioral Health & Social Service Providers / School 101YS0200X North Carolina

Profile Details

NPI number 1083918254
LBN Legal business name Raper, Colleen Dougherty
Credentials MS, LCAS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2011
Last updated Dec 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083918254 NPPES
North Carolina MEDICAID 6112231

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