Daugherty, Connie Ann

Daugherty, Connie Ann is an sole proprietor health care provider with primary practice located at 11228 Kenney St , Norwalk CA 90650-7637. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Daugherty, Connie Ann can be contacted via phone (510) 499-4876.

Contact Information

Primary practice address
11228 Kenney St Norwalk CA 90650-7637
Phone: (510) 499-4876
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1477740470
LBN Legal business name Daugherty, Connie Ann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2007
Last updated Oct 3rd, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers