Organization
DOUGHERTY PROFESSIONAL COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN DOUGHERTY LADC (OWNER)
(860) 374-3005
Entity
Organization
Contact information
Practice address
210 STATE ST, MERIDEN, CT 06450-3242
(860) 374-3005
Mailing address
490 SILVER LN, EAST HARTFORD, CT 06118-1100
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
001019
CT
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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