Individual
MATILDA MARIE DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC, NCC
Contact information
Practice address
319 W PATRICK ST, FREDERICK, MD 21701-4855
(301) 640-5702
Mailing address
73 S MAIN ST, SMITHSBURG, MD 21783-1952
(240) 422-3150
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MD
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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