Individual
TIFFANY DAWN DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 VILLAGE DR, ELIZABETHTOWN, KY 42701-2423
(270) 594-1199
Mailing address
165 WINNGATE RD, ELIZABETHTOWN, KY 42701-5392
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
292956
KY
Other
Enumeration date
01/08/2014
Last updated
01/23/2025
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