Individual
DR. JENNIFER LYNN DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
17103 PRESTON RD, SUITE 288, DALLAS, TX 75248-1332
(469) 251-0803
Mailing address
17103 PRESTON RD, SUITE 288, DALLAS, TX 75248-1332
(469) 251-0803
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
20192
TX
Other
Enumeration date
10/02/2009
Last updated
01/29/2015
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