Individual
MR. THOMAS A DOUGHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT, LCSW, SAC
Contact information
Practice address
2555 E CALUMET ST, APPLETON, WI 54915-4748
(920) 716-4482
Mailing address
W4816 SPRING HILL DR, SHERWOOD, WI 54169-9750
(920) 716-3748
(920) 430-2015
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13090-131
WI
1041C0700X
Clinical Social Worker
2951-123
WI
106H00000X
Marriage & Family Therapist
Primary
431-124
WI
Other
Enumeration date
11/29/2006
Last updated
02/11/2022
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