Evan Doughty
Evan Doughty is a Counselor in Carbondale, Illinois. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
2311 S Illinois AveCarbondale, IL 62903-5912
Phone: (855) 608-3560
Fax: (618) 549-3734
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1134851819 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 30, 2022 |
| Last updated in NPPES | June 30, 2022 |
| Certification date | June 30, 2022 |
| Mailing address | 902 W Main St, West Frankfort, IL 62896-2210 |
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