Most Relevant Information
Provider Data
| NPI Number: | 1003194960 |
| Provider Name: | CHRISTINE DOUGHERTY LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 26686 |
Most Important Dates
| Enumeration Date: | 07/26/2011 |
| Last Updated: | 03/17/2020 |
Provider Practice Location
1000 VALE TERRACE DR
VISTA
CA
920845218
Practice Location Phone/Fax
| Phone: | 7606315000 |
| Fax: |
Provider Mailing Location
1000 VALE TERRACE DR
VISTA
CA
920845218
Provider Mailing Phone/Fax
| Phone: | 7606315000 |
| Fax: |