Provider Demographics
NPI:1972032407
Name:DOCHER, URSULA LORE (BA)
Entity type:Individual
Prefix:
First Name:URSULA
Middle Name:LORE
Last Name:DOCHER
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2357 TOBACCO RD
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30906-9220
Mailing Address - Country:US
Mailing Address - Phone:706-722-3855
Mailing Address - Fax:706-798-3795
Practice Address - Street 1:2357 TOBACCO RD
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30906-9220
Practice Address - Country:US
Practice Address - Phone:706-722-3855
Practice Address - Fax:706-798-3795
Is Sole Proprietor?:No
Enumeration Date:2017-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)