Individual
PAUL DOHEARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4030 CHOUTEAU AVE, SAINT LOUIS, MO 63110-1754
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2021047114
MO
101YM0800X
Mental Health Counselor
2021047114
MO
101YP2500X
Professional Counselor
Primary
2021047114
MO
Other
Enumeration date
06/03/2024
Last updated
11/06/2025
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