Individual
MELISSA NICOLE DOUGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1215 ANNAPOLIS RD STE 204, ODENTON, MD 21113-1351
(410) 975-0067
Mailing address
7910 SIBLEY WAY, SEVERN, MD 21144-1182
(757) 348-0763
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC13257
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LC13257
—
MD
Enumeration date
01/02/2023
Last updated
01/02/2023
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