Individual
BRIAN DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
2205 N WHEELING AVE, MUNCIE, IN 47303-1602
(765) 287-1922
Mailing address
2205 N WHEELING AVE, MUNCIE, IN 47303-1602
(765) 287-1922
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004040A
IN
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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