IndividualActive
Adrienne Doherty, LCPC
NPI 1336485325 · Professional Counselor · Rockford, IL
Provider details
- NPI number
- 1336485325
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- No
- License
- 180.012568 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
308 W State St Ste 250
Rockford, IL 61101-1140
Phone: (815) 969-8836
Fax: (815) 969-8871
Approximate (ZIP-level) locationGet directions
Mailing address
308 W State St Ste 250
Rockford, IL 61101-1140
Registry dates
- Enumerated
- 2012-12-18
- Last updated
- 2021-02-03
- Certified
- 2021-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.