| Dougherty Professional Counseling, Llc | |
|
210 State St Meriden CT 06450-3242 | |
| (860) 374-3005 | |
| Not Available |
| Full Name | Dougherty Professional Counseling, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 210 State St, Meriden, Connecticut |
| Authorized Official Name and Position | Shawn Dougherty (OWNER) |
| Authorized Official Contact | 8603743005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dougherty Professional Counseling, Llc 490 Silver Ln East Hartford CT 06118-1100 Ph: () - | Dougherty Professional Counseling, Llc 210 State St Meriden CT 06450-3242 Ph: (860) 374-3005 |
| NPI Number | 1316303019 |
|---|---|
| Provider Enumeration Date | 01/11/2016 |
| Last Update Date | 01/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316303019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 001019 (Connecticut) | Primary |
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