Provider Demographics
NPI:1801914817
Name:DOUGHERTY-VIED, BARBARA -JEANNE HARLAN (LCPC, LPC)
Entity type:Individual
Prefix:MS
First Name:BARBARA -JEANNE
Middle Name:HARLAN
Last Name:DOUGHERTY-VIED
Suffix:
Gender:F
Credentials:LCPC, LPC
Other - Prefix:MS
Other - First Name:JEANNIE
Other - Middle Name:HARLAN
Other - Last Name:DOUGHERTY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCPC, LPC
Mailing Address - Street 1:8120 WOODMONT AVE #205
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814
Mailing Address - Country:US
Mailing Address - Phone:410-440-9962
Mailing Address - Fax:
Practice Address - Street 1:8120 WOODMONT AVE #205
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814
Practice Address - Country:US
Practice Address - Phone:410-440-9962
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-12554101YP2500X
MD3936101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional