Individual ProviderMaureen Elizabeth DohertyMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address5400 Connecticut Ave Ste 110, La Mesa, CA 91942-1213(619) 920-3161PECOS EnrollmentBased on the most recent information from CMS, provider Maureen Elizabeth Doherty does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1073641601Provider TypeIndividualFull NameDoherty, Maureen ElizabethCredentialM.A., LMFT, LPCCGenderFemaleSole ProprietorYesEnumeration Date3/2/2007Last Updated6/12/2025Contact InformationPractice LocationPractice Address5400 Connecticut Ave Ste 110, La Mesa, CA 91942-1213Phone(619) 920-3161FaxUnlisted FaxMailing LocationMailing Address5400 Connecticut Ave Ste 110, La Mesa, CA 91942-1213Phone(619) 920-3161FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense48602CaliforniaCode101YP2500XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense1772California