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1023290210 NPI number — ERIN JOANNE DOUGHERTY LCPC

NPI Number: 1023290210
Health Care Provider/Practitioner: ERIN JOANNE DOUGHERTY LCPC

Information about “1023290210” NPI (ERIN JOANNE DOUGHERTY LCPC) exists in 1023290210 in HTML format HTML  |  1023290210 in plain Text format TXT  |  1023290210 in PDF (Portable Document Format) PDF  |  1023290210 in an XML format XML  formats.

NPI Number : 1023290210 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023290210",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DOUGHERTY",
    "FirstName": "ERIN",
    "MiddleName": "JOANNE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LCPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KIRBY",
    "OtherFirstName": "ERIN",
    "OtherMiddleName": "JOANNE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "LCPC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "6 PARK CENTER CT",
    "SecondLineMailingAddress": "SUITE 103",
    "MailingAddressCityName": "OWINGS MILLS",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21117-5601",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "410-356-3344",
    "MailingAddressFaxNumber": "410-356-7581",
    "FirstLinePracticeLocationAddress": "6 PARK CENTER CT",
    "SecondLinePracticeLocationAddress": "103",
    "PracticeLocationAddressCityName": "OWINGS MILLS",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21117-5601",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "410-356-3344",
    "PracticeLocationAddressFaxNumber": "410-356-4459",
    "EnumerationDate": "11/29/2007",
    "LastUpdateDate": "02/14/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "SC0642",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "LC2144",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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