# JEAN DAUGHERTY COUNSELING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245595479
- **Authorized official:** JEAN DAUGHERTY LCSW (THERAPIST/OWNER)
- **Authorized official phone:** (541) 485-9898

## Contact information

- **Practice address:** 541 WILLAMETTE ST, SUITE 205, EUGENE, OR 97401-2612
- **Practice address phone:** (541) 485-9898
- **Mailing address:** 541 WILLAMETTE ST, SUITE 205, EUGENE, OR 97401-2612
- **Mailing address phone:** (541) 485-9898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | L4685 | OR | Yes |

## Other

- **Enumeration date:** 07/13/2012
- **Last updated:** 03/10/2013
