William James Dougherty, LPC, LCADC, CAADC is a
Counselor - Professional based in Palmer, Pennsylvania. William James Dougherty is licensed to practice in Pennsylvania (license number PC006310) and his current practice location is
3504 Freemansburg Ave, Palmer, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(610) 762-2428.
NPI number for William James Dougherty is 1609054774 and his current mailing address is 3504 Freemansburg Ave, Palmer, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609054774.
Healthcare Provider's Profile
| Full Name | William James Dougherty |
|---|
| Gender | Male |
|---|
| Speciality | Counselor - Professional |
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| Location | 3504 Freemansburg Ave, Palmer, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1609054774
- Provider Enumeration Date: 01/31/2008
- Last Update Date: 07/02/2012
Medical Identifiers
Medical identifiers for William James Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609054774 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00137600 (New Jersey) | Secondary |
| 101YP2500X | Counselor - Professional | 37PC00408700 (New Jersey) | Secondary |
| 101YP2500X | Counselor - Professional | PC006310 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. William James Dougherty is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
William James Dougherty, LPC, LCADC, CAADC
3504 Freemansburg Ave,
Palmer, PA 18045-5107
Ph: (610) 762-2428 | William James Dougherty, LPC, LCADC, CAADC
3504 Freemansburg Ave,
Palmer, PA 18045-5107
Ph: (610) 762-2428 |
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