JEROME DOHERTY

SEATTLE, WA
NPI1699228049
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA  1006)
Enumeration Date2016-08-02
Last Update Date2016-08-02
Business Address
JEROME DOHERTY CDP
11000 LAKE CITY WAY NE
SEATTLE, WA 98125-6748
Phone number: 206-632-5009
Mailing Address
JEROME DOHERTY CDP
11000 LAKE CITY WAY NE
SEATTLE, WA 98125-6748
Phone number: 206-632-5009
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