Healthcare Provider Details

I. General information

NPI: 1538021589
Provider Name (Legal Business Name): MARLENA DOUGHERTY LMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/28/2025
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 E SUNSET DR
BELLINGHAM WA
98226-5668
US

IV. Provider business mailing address

1405 E SUNSET DR APT 19
BELLINGHAM WA
98226-5668
US

V. Phone/Fax

Practice location:
  • Phone: 720-310-5702
  • Fax:
Mailing address:
  • Phone: 720-310-5702
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHCA.MC.70016907
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0023456
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: