Individual
BROOKE L DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
519 S PARK ST, KALAMAZOO, MI 49007-5117
(269) 383-0450
(269) 383-2066
Mailing address
3395 AUSTRIAN PINE WAY APT 24C, PORTAGE, MI 49024-2904
(269) 352-0918
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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