Stephanie Dougherty
Counselor in Lebanon, PA. Individual provider (NPI-1).
NPI number1649865684
StatusActive
Last updated in NPPESMar 2, 2021
Details
- NPI
- 1649865684
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Dougherty
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 2, 2021
- Certification date
- Mar 2, 2021
- Last updated
- Mar 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | BH004768 | PA | Yes |
Practice location
350 N 6th AveLebanon, PA 17046-4065
Phone 717-274-9682
Mailing address
200 N 7th StLebanon, PA 17046-5040
Phone 717-272-5464 · Fax 717-376-1712
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