Individual
KATHERINE JOANNE DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
4040 W 86TH ST, INDIANAPOLIS, IN 46268-7800
(317) 876-3600
Mailing address
1517 E 81ST ST, INDIANAPOLIS, IN 46240-2715
(317) 253-7820
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001542A
IN
Other
Enumeration date
12/03/2005
Last updated
09/12/2007
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