Individual
LAUREN DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, ATR-BC
Contact information
Practice address
444 SAN MARCOS DR, GREENWOOD, IN 46142-7376
(765) 639-6060
Mailing address
PO BOX 8195, GREENWOOD, IN 46142-6430
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004090A
IN
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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