Individual
ROBERT PAUL DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
1007 N POPE ST, SILVER CITY, NM 88061-5161
(575) 388-1511
(515) 313-8236
Mailing address
530 DE MOSS ST, LORDSBURG, NM 88045-2617
(575) 542-8384
(575) 542-2388
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2024-0083
NM
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
05/18/2020
Last updated
04/05/2024
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