Individual
KRISTEN LEE DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
825 CRESTMONT WAY UNIT C, MISSOULA, MT 59803-1494
(770) 842-4100
Mailing address
825 CRESTMONT WAY UNIT C, MISSOULA, MT 59803-1494
(770) 842-4100
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
BBH-LCPC-LIC-62489
MT
Other
Enumeration date
04/21/2016
Last updated
07/10/2023
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