Individual
MRS. JOAN M DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LMFT LPC
Contact information
Practice address
3005 BRODHEAD RD, SUITE 280, BETHLEHEM, PA 18020-9299
(610) 868-5606
Mailing address
3005 BRODHEAD RD, SUITE 280, BETHLEHEM, PA 18020-9299
(610) 868-5606
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PC000182
PA
106H00000X
Marriage & Family Therapist
Primary
MF000034
PA
Other
Enumeration date
11/20/2007
Last updated
11/20/2007
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