Individual
MR. SHAWN F DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A. IN PSYCHOLOGY
Contact information
Practice address
1010 FARRAGUT AVE, COLORADO SPRINGS, CO 80909-3726
(719) 327-2042
(719) 634-0482
Mailing address
6618 FOWLER DR, COLORADO SPRINGS, CO 80923-5461
(719) 210-8181
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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