Individual
LACINDA SHAE DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7127 N COUNTY LINE RD, PIEDMONT, OK 73078-9136
(405) 858-1749
(405) 858-1748
Mailing address
P.O. BOX 12978, OKLAHOMA CITY, OK 73157
(405) 858-1700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
6438
OK
Other
Enumeration date
06/12/2007
Last updated
04/22/2021
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