Provider First Line Business Practice Location Address:
DOUGHERTY COUNSELING CENTER
Provider Second Line Business Practice Location Address:
1919 STATE ST., STE. #2
Provider Business Practice Location Address City Name:
NEW ALBANY
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
47150
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
812-944-2532
Provider Business Practice Location Address Fax Number:
812-944-2549
Provider Enumeration Date:
09/11/2006