Jessica Doherty's National Provider Identifier (NPI) Details
Jessica Doherty, MSW, LCSW, CSAC
NPI: 1447026174
Enumeration Date: 2023-12-04
Last updated: 2023-12-21
Sole Proprietor: NO
Status: active
Postal Address: 128 W HIDDEN TRL APT 101, ELKHORN, WI
Phone: 847-693-6942
Primary Practice Address: 128 W HIDDEN TRL APT 101, ELKHORN, WI
Practice's phone: 847-693-6942