Individual
CHRISTINE MARIE DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1022 E MAIN ST, BENTON HARBOR, MI 49022-3036
(269) 926-0015
(269) 926-0015
Mailing address
1022 E MAIN ST, BENTON HARBOR, MI 49022-3036
(269) 926-0015
(369) 926-0015
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4704209681
MI
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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