Individual
KELLY DOUGHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
216 E LUDINGTON ST, IRON MOUNTAIN, MI 49801-2918
(906) 239-9918
(906) 373-8455
Mailing address
216 E LUDINGTON ST, IRON MOUNTAIN, MI 49801-2918
(906) 239-9918
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401017123
MI
Other
Enumeration date
12/13/2016
Last updated
02/14/2019
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