Individual
MR. JOSHUA DON DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1550 HOTEL CIR N STE 450, SAN DIEGO, CA 92108-2933
(619) 692-1581
(619) 528-4625
Mailing address
PO BOX 609001, SAN DIEGO, CA 92160-9001
(619) 528-4600
(619) 528-4625
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP95015591
CA
Other
Enumeration date
06/24/2020
Last updated
10/20/2020
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