Individual
DR. THOMAS E DOUGHERTY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
514 S STRATFORD RD, STE 306, WINSTON SALEM, NC 27103-1823
(336) 323-1616
Mailing address
514 S STRATFORD RD, SUITE 306, WINSTON SALEM, NC 27103-1823
(336) 323-1616
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
193
NC
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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