MS. Jill Regina Dougherty, MA, LPCC
NPI #1104912930 in Rio Rancho, New Mexico
Provider Information
- NPI Number
- 1104912930
- Entity Type
- Individual
- Name
- MS. Jill Regina Dougherty, MA, LPCC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- MA, LPCC
- Enumeration Date
- Oct 5, 2006
- Last Updated
- May 15, 2009
Practice Location
- Address
- 1800 35TH STREET, SE
- City
- Rio Rancho
- State
- New Mexico
- ZIP Code
- 87124
- Phone
- (505) 892-8640
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Counselor - Professional — Professional |
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