Individual
GRACE O. DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1718 CENTRAL PKWY, CINCINNATI, OH 45214-2355
(513) 941-4999
Mailing address
6460 HARRISON AVE STE 200, CINCINNATI, OH 45247-7821
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.188212
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0149143
—
OH
Enumeration date
10/02/2025
Last updated
10/03/2025
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