Individual
WILLIAM DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC1
Contact information
Practice address
736 CAMBRIDGE ST, SECAP, BRIGHTON, MA 02135-2907
(617) 789-5030
(617) 562-5384
Mailing address
736 CAMBRIDGE ST, SECAP, BRIGHTON, MA 02135-2907
(617) 789-5030
(617) 562-5384
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
851
MA
Other
Enumeration date
11/07/2015
Last updated
11/07/2015
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