Organization
JEAN DAUGHERTY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN DAUGHERTY LCSW (THERAPIST/OWNER)
(541) 485-9898
Entity
Organization
Contact information
Practice address
541 WILLAMETTE ST, SUITE 205, EUGENE, OR 97401-2612
(541) 485-9898
Mailing address
541 WILLAMETTE ST, SUITE 205, EUGENE, OR 97401-2612
(541) 485-9898
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4685
OR
Other
Enumeration date
07/13/2012
Last updated
03/10/2013
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