| Portia Doughty, LCSWA | |
|
224 West D.l. Ingram Ave., Cannon Afb, NM 88103 | |
| (575) 784-1108 | |
| Not Available |
| Full Name | Portia Doughty |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 224 West D.l. Ingram Ave., Cannon Afb, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265128730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | P018748 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Portia Doughty, LCSWA 1217 Broadway, Clovis, NM 88101-1178 Ph: (804) 965-3695 | Portia Doughty, LCSWA 224 West D.l. Ingram Ave., Cannon Afb, NM 88103 Ph: (575) 784-1108 |
Krystal Marie Mccullen, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 208 West Dl Ingram Avenue, Cannon Afb, NM 88103 Phone: 210-341-3336 | |
Mr. Jose R Jasso Jr., MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 224 West D.l. Ingram Ave., Bldg. 1408, Cannon Afb, NM 88103 Phone: 575-784-1108 | |
Adam John Taylor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 224 D. L. Ingram Ave Bldg. 1408, Cannon Afb, NM 88101 Phone: 575-748-1108 | |
Briana Alyssa Hernandez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb, NM 88103 Phone: 575-904-5376 | |
Jordan Ramil, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 224 W D.l. Ingram Ave, Bldg 1408, Cannon Afb, NM 88103 Phone: 575-784-1108 | |
Ms. Ericka Jean Bond, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 27th Special Operations Medical Group, 224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb, NM 88103 Phone: 575-693-6518 |