Shawn Dougherty, MS, LADC - Counselor in East Hartford, CT

Shawn Dougherty, MS, LADC is a Counselor - Addiction (substance Use Disorder) based in East Hartford, Connecticut. Shawn Dougherty is licensed to practice in Connecticut (license number 001019) and his current practice location is 490 Silver Ln, East Hartford, Connecticut. He can be reached at his office (for appointments etc.) via phone at (860) 593-3902.

NPI number for Shawn Dougherty is 1023353653 and his current mailing address is 490 Silver Ln, East Hartford, Connecticut. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023353653.

Contact Information

Shawn Dougherty, MS, LADC
490 Silver Ln,
East Hartford, CT 06118-1100
(860) 593-3902
Not Available

Healthcare Provider's Profile

Full NameShawn Dougherty
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location490 Silver Ln, East Hartford, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023353653
  • Provider Enumeration Date: 12/08/2012
  • Last Update Date: 12/08/2012

Medical Identifiers

Medical identifiers for Shawn Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023353653NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 001019 (Connecticut)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shawn Dougherty is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shawn Dougherty, MS, LADC
490 Silver Ln,
East Hartford, CT 06118-1100

Ph: () -
Shawn Dougherty, MS, LADC
490 Silver Ln,
East Hartford, CT 06118-1100

Ph: (860) 593-3902

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› Verified 1 days ago


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