Individual
RONDA JO DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 BELLE MILL RD, RED BLUFF, CA 96080-2850
(530) 840-2000
Mailing address
1010 JOHNSON ST, RED BLUFF, CA 96080-3141
(530) 351-8658
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
CA
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
07/19/2023
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