Individual
TANJA DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 N WALKER AVE, SUITE 190, OKLAHOMA CITY, OK 73102-1619
(405) 290-7542
(405) 290-7576
Mailing address
500 N WALKER AVE, SUITE 190, OKLAHOMA CITY, OK 73102-1619
(405) 290-7542
(405) 290-7576
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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