CHARLES ROBERT DAUGHERTY CDCA NPI 1871280040

NPI Information

  • NPI: 1871280040
  • Provider Name: CHARLES ROBERT DAUGHERTY, CDCA
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 1012 E PERKINS AVE
    SANDUSKY, OH
    ZIP 44870
  • Phone: (833) 510-4357

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NPI Details

Charles Robert Daugherty, CDCA is an addiction (substance use disorder) counselor in Sandusky, OH. Charles Robert Daugherty, CDCA NPI is 1871280040. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1012 E PERKINS AVE
SANDUSKY, OH
ZIP 44870-070
Phone: (833) 510-4357
Fax: (567) 243-2097

The enumeration date for this NPI number is 4/19/2023 and was last updated on 3/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)CDCA.183679OHIONo
2101YA0400XCounselorAddiction (Substance Use Disorder)CDCA.187659OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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