Individual
HEATHER M DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4662 JADE ST NE, SALEM, OR 97305
(971) 453-3430
(503) 400-3058
Mailing address
4662 JADE ST NE, SALEM, OR 97305-3134
(503) 409-1100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/09/2019
Last updated
03/20/2024
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