Individual
ADRIENNE DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
308 W STATE ST STE 250, ROCKFORD, IL 61101-1140
(815) 969-8836
(815) 969-8871
Mailing address
308 W STATE ST STE 250, ROCKFORD, IL 61101-1140
(815) 969-8836
(815) 969-8871
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.012568
IL
Other
Enumeration date
12/18/2012
Last updated
02/03/2021
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