Individual
BRIAN DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
1031 W 3RD ST, ERIE, PA 16507-1045
(814) 462-4468
Mailing address
1031 W 3RD ST, ERIE, PA 16507-1045
(814) 462-4468
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC014345
PA
Other
Enumeration date
04/05/2022
Last updated
04/29/2023
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