SHAWN DOUGHERTY

EAST HARTFORD, CT
NPI1023353653
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT  001019)
Enumeration Date2012-12-08
Last Update Date2012-12-08
Business Address
-- SHAWN DOUGHERTY MS, LADC
490 SILVER LN
EAST HARTFORD, CT 06118-1100
Phone number: 860-593-3902
Mailing Address
-- SHAWN DOUGHERTY MS, LADC
490 SILVER LN
EAST HARTFORD, CT 06118-1100
Phone number: