Individual
LORI DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT BA
Contact information
Practice address
2610 WETMORE AVE, EVERETT, WA 98201-2927
(425) 258-5270
(425) 258-5275
Mailing address
2610 WETMORE AVE, EVERETT, WA 98201-2927
(425) 258-5270
(425) 258-5275
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RC00059628
WA
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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