NPI 1013194166

Carrie E Daugherty, FAODP

Practitioner Addiction (Substance Use Disorder) Counselor Highland Park, MI

Practice location

Address: 12501 Hamilton Ave, Highland Park, MI 48203-3243
Phone: (313) 865-1580
Fax: (313) 865-1582

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X

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Registry record

NPI: 1013194166
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jan 2008
Record last updated: 30 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.