Individual
DAVID DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RMFTI
Contact information
Practice address
1903 ISLAND WALK WAY, FERNANDINA BEACH, FL 32034-4797
(904) 277-0027
(904) 867-6261
Mailing address
1903 ISLAND WALK WAY, FERNANDINA BEACH, FL 32034-4797
(904) 277-0027
(407) 867-6261
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
I2278
FL
106H00000X
Marriage & Family Therapist
Primary
—
FL
Other
Enumeration date
11/23/2015
Last updated
07/21/2022
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