Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon Rae Docherty

Individual provider Mental Health Counselor · NPI 1194005181

Shannon Rae Docherty is a Mental Health Counselor in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2011

Practice location Address checks out

444 N Larchmont Blvd Ste 109
Los Angeles, CA 90004
Phone: (716) 868-5732
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 81272 (CA)

Record details

NPI number1194005181
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 22, 2011
Last updated in NPPESAugust 20, 2018

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