Doughty, Acquinnetta

Doughty, Acquinnetta is an sole proprietor health care provider with primary practice located at 490 W 23Rd Ave , Gary IN 46407-3017. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Doughty, Acquinnetta can be contacted via phone (219) 333-7619.

Contact Information

Primary practice address
490 W 23Rd Ave Gary IN 46407-3017
Phone: (219) 333-7619
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCAC87000707A Indiana
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 87000707A Indiana

Profile Details

NPI number 1710359781
LBN Legal business name Doughty, Acquinnetta
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2015
Last updated Jun 4th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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