TAZ DOUGHERTY

SANTA MARIA, CA
NPI1891156261
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-03-14
Last Update Date2016-03-14
Business Address
-- TAZ DOUGHERTY
115 E FESLER ST
SANTA MARIA, CA 93454-4404
Phone number: 805-922-6597
Mailing Address
-- TAZ DOUGHERTY
115 E FESLER ST
SANTA MARIA, CA 93454-4404
Phone number: 805-922-6597
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