Individual
CHARLES ROBERT DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
1012 E PERKINS AVE, SANDUSKY, OH 44870-5070
(833) 510-4357
(567) 243-2097
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
(833) 510-4357
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.183679
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.187659
OH
Other
Enumeration date
04/19/2023
Last updated
03/08/2024
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