JEROME DOHERTY CDP NPI 1699228049

NPI Information

NPI: 1699228049
Provider Name: JEROME DOHERTY, CDP
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
11000 LAKE CITY WAY NE
SEATTLE, WA
ZIP 98125
Phone: (206) 632-5009
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Jerome Doherty, CDP is an addiction (substance use disorder) counselor in Seattle, WA. Jerome Doherty, CDP NPI is 1699228049. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11000 LAKE CITY WAY NE
SEATTLE, WA
ZIP 98125-748
Phone: (206) 632-5009

The enumeration date for this NPI number is 8/2/2016 and was last updated on 8/2/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1006	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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