Tamara Marie Dougherty
CSAC | Addiction (Substance Use Disorder) Counselor
400 W River Dr, West Bend
Wisconsin, 53090-1567
262-338-2717 262-338-9767
Maps & DirectionsTamara Marie Dougherty is a West Bend, Wisconsin based counselor who is specialized as Addiction (Substance Use Disorder) Counselor. Active license number of Tamara Marie Dougherty is 15350-132 for Addiction (Substance Use Disorder) Counselor in Wisconsin. Her current practice location is 400 W River Dr, West Bend. Patients can book an appointment with her at 262-338-2717.
Tamara Marie Dougherty is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. She helps her clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Tamara Marie Dougherty speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Tamara Marie Dougherty |
| Specialization: | Addiction (Substance Use Disorder) Counselor |
| Gender: | Female |
| Credentials: | CSAC |
| Accepts Medicare Assignment: | No |
| Practice Address: | 400 W River Dr, West Bend, Wisconsin, 53090-1567 |
| Phone: | 262-338-2717 |
| Fax: | 262-338-9767 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1467647677 |
| NPI Enumeration Date: | 11 Sep, 2007 |
| NPI Last Update On: | 28 Dec, 2009 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tamara Marie Dougherty are as mentioned below.
| License Number | Specialization | State | Status | |
| 15350-132 | Addiction (Substance Use Disorder) Counselor | Wisconsin | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Tamara Marie Dougherty such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 39179600 | Medicaid | Wisconsin | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 400 W River Dr, West Bend, Wisconsin |
| Zip: | 53090-1567 |
| Phone Number: | 262-338-2717 |
| Fax Number: | 262-338-9767 |
Patients can reach Tamara Marie Dougherty at
400 W River Dr, West Bend, Wisconsin or can
call to book an appointment on 262-338-2717.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.