Individual
COLLEEN ANN DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2632 PENNSYLVANIA ST NE, SUITE E, ALBUQUERQUE, NM 87110-3613
(505) 242-4400
(505) 242-4595
Mailing address
118 SYCAMORE ST NE APT 4, ALBUQUERQUE, NM 87106-4665
(505) 948-6958
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0175641
NM
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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