Mr Christopher E Dougherty, LPCC | |
131 Oak Meadow Dr # 102, Pataskala, OH 43062-9812 | |
(614) 835-6068 | |
(614) 524-0428 |
Full Name | Mr Christopher E Dougherty |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 131 Oak Meadow Dr # 102, Pataskala, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871939777 | NPI | - | NPPES |
0074861 | Other | OH | MEDICAID LEGACY NUMBER CHEMICAL DEPENDECY |
0213234 | Medicaid | OH | |
0074946 | Other | OH | MEDICAID LEGACY NUMBER MENTAL HEALTH |
0074861 | Medicaid | OH | |
0074946 | Medicaid | OH | |
H130910 | Other | OH | MEDICARE GROUP PTAN NUMBER |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829 |
Mailing Address | Practice Location Address |
---|---|
Mr Christopher E Dougherty, LPCC 2318 Spurgeon St, Waycross, GA 31501-6927 Ph: (937) 371-3892 | Mr Christopher E Dougherty, LPCC 131 Oak Meadow Dr # 102, Pataskala, OH 43062-9812 Ph: (614) 835-6068 |
Stacey C Christensen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 131 Oak Meadow Dr Ste 102, Pataskala, OH 43062 Phone: 614-835-6068 | |
Richard Nathaniel Haughton, BA, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 250 Apple Blossom Rd Sw, Pataskala, OH 43062 Phone: 740-739-3108 | |
Stacia Ann Barnes, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9734 Jug St Nw, Pataskala, OH 43062 Phone: 740-924-7543 Fax: 740-924-2002 | |
Alisabeth Robbins, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 Front St, Suite 103, Pataskala, OH 43062 Phone: 614-209-1907 | |
Jackson Wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 82 Kelly Marie Dr, Pataskala, OH 43062 Phone: 614-315-9437 | |
Hannah Donley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9734 Jug St Nw, Pataskala, OH 43062 Phone: 740-924-7543 |