SHANNON RAE DOCHERTY

LOS ANGELES, CA
NPI1194005181
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: CA  81272)
Enumeration Date2011-08-22
Last Update Date2018-08-20
Business Address
SHANNON RAE DOCHERTY
444 N LARCHMONT BLVD STE 109
LOS ANGELES, CA 90004
Phone number: 716-868-5732
Mailing Address
SHANNON RAE DOCHERTY
438 1/2 S DETROIT ST
LOS ANGELES, CA 90036-3533
Phone number: 716-868-5732
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