Shawn Dougherty, MS, LADC | |
490 Silver Ln, East Hartford, CT 06118-1100 | |
(860) 593-3902 | |
Not Available |
Full Name | Shawn Dougherty |
---|---|
Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 490 Silver Ln, East Hartford, Connecticut |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023353653 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 001019 (Connecticut) | Primary |
Mailing Address | Practice 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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