| NPI | 1801914817 |
|---|---|
| Professional Name | JEANNIE HARLAN DOUGHERTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD 3936) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-12554) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2018-05-17 |