Jacob Andrew Dougherty, MS, NCC
NPI #1457697930 in North Bend, Oregon
Provider Information
- NPI Number
- 1457697930
- Entity Type
- Individual
- Name
- Jacob Andrew Dougherty, MS, NCC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- MS, NCC
- Enumeration Date
- Jan 2, 2013
- Last Updated
- Oct 10, 2013
Practice Location
- Address
- 1913 MEADE ST
- City
- North Bend
- State
- Oregon
- ZIP Code
- 97459-3432
- Phone
- (541) 260-8004
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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