Individual
MR. KEVIN JAMES DOHERTY
Active
Individual
MR. KEVIN JAMES DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC CACII
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3960
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019091
KAISER COMMERCIAL NUMBER
CO
05
—
28101766
—
CO
Enumeration date
05/01/2007
Last updated
06/07/2021
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