Individual
STACI N. DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
65 CENTER AVE, WHITLEY CITY, KY 42653-4380
(606) 376-3344
Mailing address
76 MEDICAL LN., WHITLEY CITY, KY 42653
(606) 376-3344
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
103380
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100285790
—
KY
Enumeration date
08/05/2011
Last updated
04/17/2025
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