Individual
MR. JOHN W. O'DONOGHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
3900 BARRETT DR, SUITE 301-B, RALEIGH, NC 27609-6641
(919) 341-2477
Mailing address
3900 BARRETT DR, SUITE 301-B, RALEIGH, NC 27609-6641
(919) 341-2477
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1114
NC
106H00000X
Marriage & Family Therapist
MFC 40935
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6105123
—
NC
Enumeration date
07/21/2006
Last updated
07/09/2007
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