Individual
DR. KELLEE RAE CLOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21632 WESLEY DR, LAGUNA BEACH, CA 92651-8167
(949) 499-5346
Mailing address
30101 TOWN CENTER DR STE 216, LAGUNA NIGUEL, CA 92677-2065
(805) 798-5100
(949) 388-5125
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
G79391
CA
Other
Enumeration date
06/27/2006
Last updated
06/27/2022
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