Individual
RHONDA S DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
64 ECLIPSE CETNER, BELOIT, WI 53511
(608) 363-6200
Mailing address
64 ECLIPSE CETNER, BELOIT, WI 53511
(608) 363-6200
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
641-125
WI
Other
Enumeration date
03/14/2008
Last updated
03/17/2008
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