Individual
MR. BRIAN P CLOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., M.DIV., LPC
Contact information
Practice address
4324 S ALSTON AVE STE 203, DURHAM, NC 27713-5296
(919) 806-0009
(919) 806-1201
Mailing address
112 MONTICELLO AVE, DURHAM, NC 27707-3909
(919) 672-8223
(919) 401-0987
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
Primary
7391
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6104213
—
NC
Enumeration date
04/02/2009
Last updated
07/21/2022
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