Organization
CHRISTINA MARIE DOUGHERTY
Active
Other names
Christina Dougherty LCSW LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA MARIE DOUGHERTY LCSW (OWNER, CLINICIAN)
(858) 504-7868
Entity
Organization
Contact information
Practice address
10401 MONTGOMERY BLVD NE STE 2L, ALBUQUERQUE, NM 87111-3844
(858) 504-7868
Mailing address
1109 DASKALOS DR NE, ALBUQUERQUE, NM 87123-1938
(858) 504-7868
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6L2005
NM MEDICARE PTAN GROUP
NM
Enumeration date
02/06/2023
Last updated
12/11/2025
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