Individual
AARON RUSSELL DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., LPC, NCC
Contact information
Practice address
4105 MONROEVILLE BLVD, MONROEVILLE, PA 15146-2607
(412) 380-0100
Mailing address
4105 MONROEVILLE BLVD, MONROEVILLE, PA 15146-2607
(412) 380-0100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
PC017491
PA
Other
Enumeration date
09/30/2019
Last updated
08/16/2024
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