Diana Doherty, LPCC
Counselor, Professional in Santa Fe, NM. Individual provider (NPI-1).
NPI number1356797328
StatusActive
Last updated in NPPESMay 19, 2025
Details
- NPI
- 1356797328
- Entity type
- Individual (NPI-1)
- Name
- Diana Doherty
- Credential
- LPCC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 10, 2016
- Certification date
- May 19, 2025
- Last updated
- May 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | CTB-2025-0123 | NM | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
4730 Beckner RdSanta Fe, NM 87507-3691
Phone 505-989-4500 · Fax 505-443-8313
Mailing address
4730 Beckner RdSanta Fe, NM 87507-3691
Phone 505-989-4500 · Fax 505-443-8313
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