Individual provider · Type 1 NPI

Renee Shanna Dougherty

Mental Health Counselor · Ardmore, OK

NPI number 1174864847 Active

Practice location

2530 S Commerce St, Building B.
Ardmore, OK 73401-5519

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X171M00000X (OK)

Mental Health Counselor: Definition to come...

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About NPI 1174864847

Renee Shanna Dougherty's National Provider Identifier is 1174864847, issued on Mar 6, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ardmore, OK. The record was last updated on Mar 6, 2013.