Doctor Name: | MOLLY DAUGHERTY |
NPI Number: | 1770926438 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PCC-S |
License Number: | E.0701071-SUPV |
Business Practice Address: | 388 S Main St Ste 205 Akron, OH - 443111035 |
Business Phone Number: | 3305434747 |
Business Fax Number: | |
Mailing Address: | 4224 Pembroke Dr, KENT |
State: | OH |
Postal Code: | 442406874 |
Phone Number: | 3302211229 |
Fax Number: | |
NPI Enumeration Date: | 04/12/2013 |
NPI Last Update Date: | 04/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | E.0701071-SUPV |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |