Individual
ALEXIS DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 N HIGH ST, LANSING, MI 48906-4529
(517) 372-4700
Mailing address
1717 N HIGH ST, LANSING, MI 48906-4529
(517) 372-4700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/09/2020
Last updated
05/07/2026
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