Tamara Marie Dougherty, CSAC
Tamara Marie Dougherty, CSAC is an Addiction (Substance Use Disorder) Counselor in West Bend, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.
- Licensed in
- WI
- In the registry since
- 2007
Practice location Address checks out
400 W River DrWest Bend, WI 53090-1567
Phone: (262) 338-2717
Fax: (262) 338-9767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 15350-132 (WI) |
|---|
Record details
| NPI number | 1467647677 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CSAC |
| Sole proprietor | No |
| NPI enumerated | September 11, 2007 |
| Last updated in NPPES | December 28, 2009 |
| Mailing address | 400 W River Dr, West Bend, WI 53090-1567 |
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