person
Shannon Rae Docherty
Mental Health Counselor in Los Angeles, California
NPI 1194005181

Shannon Rae Docherty is a Mental Health Counselor based in Los Angeles, CA and is specialized in Mental Health. Shannon Rae Docherty practices in Los Angeles, CA. The NPI Number for Shannon Rae Docherty is 1194005181 and holds a License No. 81272 (California).

The current practice location address for Shannon Rae Docherty is 444 N Larchmont Blvd Ste 109, Los Angeles, CA and can be reached out via phone at 716-868-5732.

Location: 444 N Larchmont Blvd Ste 109, Los Angeles, CA, 90036-3533
person
Provider Profile Details
NPI Number
1194005181
Provider Name
Shannon Rae Docherty
Credential
Provider Entity Type
Individual
Gender
Female
Address
444 N Larchmont Blvd Ste 109, Los Angeles, CA, 90036-3533
Phone Number
716-868-5732
Fax Number
Provider Enumeration Date
08/22/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
444 N Larchmont Blvd Ste 109
City
State
Zip
90004
Phone Number
716-868-5732
Fax Number
person
Provider Business Mailing Address Details
Address
444 N Larchmont Blvd Ste 109
City
State
Zip
90004
Phone Number
716-868-5732
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
81272 (California)
Definition
Definition to come...
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