NPI | 1952007304 |
---|---|
Doing Business As | CHRISTINA DOUGHERTY LCSW LLC |
Entity Type | Organization |
Authorized Contact | CHRISTINA MARIE DOUGHERTY Owner, Clinician 858-504-7868 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2023-02-06 |
Last Update Date | 2024-04-25 |