Individual
JAMIE RENEE DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
514 W FAULKNER ST, EL DORADO, AR 71730-4519
(870) 863-5153
(870) 863-5154
Mailing address
514 W FAULKNER ST, EL DORADO, AR 71730-4519
(870) 863-5153
(870) 863-5154
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A1407104
AR
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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