Doctor Name: | MR. BRIAN P CLOUGHERTY |
NPI Number: | 1548402738 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., M.DIV. |
License Number: | |
Business Practice Address: | 2327 Englert Dr Suite 306 Durham, NC - 277134446 |
Business Phone Number: | 9196728223 |
Business Fax Number: | 9198061201 |
Mailing Address: | 112 Monticello Ave, DURHAM |
State: | NC |
Postal Code: | 277073909 |
Phone Number: | 9196728223 |
Fax Number: | 9194010987 |
NPI Enumeration Date: | 04/02/2009 |
NPI Last Update Date: | 11/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |