JACOB ANDREW DOUGHERTY

NORTH BEND, OR
NPI1457697930
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2013-01-02
Last Update Date2013-10-10
Business Address
-- JACOB ANDREW DOUGHERTY MS, NCC
1913 MEADE ST
NORTH BEND, OR 97459-3432
Phone number: 541-260-8004
Mailing Address
-- JACOB ANDREW DOUGHERTY MS, NCC
715 SW RAMSEY AVE
GRANTS PASS, OR 97527-5500
Phone number: 541-956-4943