| Doctor Name: | MISS ANITA KAY KUEHLEM-DOROGHAZI |
| NPI Number: | 1063566081 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | 180005653 |
| Business Practice Address: | 2615 Edwards St Alton, IL - 620023915 |
| Business Phone Number: | 6184622331 |
| Business Fax Number: | 6184622504 |
| Mailing Address: | 1539 Surfside Drive, SAINT LOUIS |
| State: | MO |
| Postal Code: | 63138 |
| Phone Number: | 6188774420 |
| Fax Number: | 6188779250 |
| NPI Enumeration Date: | 01/23/2007 |
| NPI Last Update Date: | 07/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 180005653 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |