Provider Demographics
NPI:1023290210
Name:DOUGHERTY, ERIN JOANNE (LCPC)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:JOANNE
Last Name:DOUGHERTY
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:MS
Other - First Name:ERIN
Other - Middle Name:JOANNE
Other - Last Name:KIRBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC
Mailing Address - Street 1:6 PARK CENTER CT
Mailing Address - Street 2:SUITE 103
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5601
Mailing Address - Country:US
Mailing Address - Phone:410-356-3344
Mailing Address - Fax:410-356-7581
Practice Address - Street 1:6 PARK CENTER CT
Practice Address - Street 2:103
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5601
Practice Address - Country:US
Practice Address - Phone:410-356-3344
Practice Address - Fax:410-356-4459
Is Sole Proprietor?:No
Enumeration Date:2007-11-29
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDSC0642101YA0400X
MDLC2144101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)