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TAMARA MARIE DOUGHERTY CSAC
NPI 1467647677
Counselor - Addiction (Substance Use Disorder) in West Bend, WI

Active since September 11, 2007
400 W RIVER DR, WEST BEND, WI 53090(262) 338-2717(262) 338-9767 Get Directions Write a Review

NPPES record last updated: December 28, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tamara Marie Dougherty Csac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAMARA MARIE DOUGHERTY CSAC (NPI 1467647677) is an individual addiction (substance use disorder) provider in West Bend, Wisconsin, licensed in Wisconsin (15350-132) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1467647677
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTAMARA MARIE DOUGHERTYCredential: CSAC
Location Address400 W RIVER DRWest Bend, WI 53090-1567
Mailing Address400 W River DrWest Bend, WI 53090-1567 · (262) 338-2717 · Fax (262) 338-9767
Phone(262) 338-2717
Fax(262) 338-9767
Sole ProprietorNo
Enumeration DateSeptember 11, 2007
Last NPPES UpdateDecember 28, 2009
✔ NPI 1467647677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WI · 15350-132
400 W RIVER DR, West Bend, WI 53090
Open in Google Maps ↗

Other Identifiers 1

Medicaid39179600WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MICAL GUSTAVE SCHAFFER LCSW
Social Worker (Clinical)
400 W RIVER DR
WEST BEND, WI 53090
Washington County (262) 338-2717
HOLLISTER L JEFFERSON M.A., SAC-IT
Counselor (Mental Health)
400 W RIVER DR
WEST BEND, WI 53090
Washington County (262) 334-4340
CHLOE SCHULZ LPC
Counselor (Professional)
400 W RIVER DR
WEST BEND, WI 53090
Washington County (262) 334-4340
ELIZABETH PAASCH LPC
Counselor (Professional)
400 W RIVER DR
WEST BEND, WI 53090
Washington County (262) 338-2717
MS. JULIANNE K MORRISON MS LPC
Counselor (Professional)
400 W RIVER DR
WEST BEND, WI 53090
Washington County (262) 335-9904
DIANE SCHAUBLE LPC
Counselor
400 W RIVER DR
WEST BEND, WI 53090
Washington County (262) 388-1608
MS. JULIE MARIE CARPENTER
Counselor (Mental Health)
400 W RIVER DR
WEST BEND, WI 53090
Washington County (262) 334-4340
TANYA MARIE WALD ATR, LPC
Counselor (Professional)
400 W RIVER DR
WEST BEND, WI 53090
Washington County (262) 338-2717

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tamara Dougherty's NPI number?

The NPI number for Tamara Dougherty is 1467647677. It was assigned to this individual provider in the NPPES registry on September 11, 2007.

Where is Tamara Dougherty located?

Tamara Dougherty practices at 400 W River Dr, West Bend, WI 53090. The listed phone number is (262) 338-2717.

What is Tamara Dougherty's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Tamara Dougherty was last updated on December 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.