person
Ian Thomas Douglas, PLPC
Professional Counselor in Springfield, Missouri
NPI 1013471143

Ian Thomas Douglas is a Professional Counselor based in Springfield, MO and is specialized in Professional. Ian Thomas Douglas practices in Springfield, MO and has the professional credentials of PLPC. The NPI Number for Ian Thomas Douglas is 1013471143 and holds a License No. 2018014976 (Missouri).

The current practice location address for Ian Thomas Douglas is 1358 E Kingsley St Ste E, Springfield, MO and can be reached out via phone at 417-414-0333 and via fax at 417-414-0333.

Location: 1358 E Kingsley St Ste E, Springfield, MO, 65804-7245
person
Provider Profile Details
NPI Number
1013471143
Provider Name
Ian Thomas Douglas
Credential
PLPC
Provider Entity Type
Individual
Gender
Male
Address
1358 E Kingsley St Ste E, Springfield, MO, 65804-7245
Phone Number
417-414-0333
Fax Number
417-414-0333
Provider Enumeration Date
01/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1358 E Kingsley St Ste E
City
State
Zip
65804-7245
Phone Number
417-414-0333
Fax Number
417-414-0333
person
Provider Business Mailing Address Details
Address
1358 E Kingsley St Ste E
City
State
Zip
65804-7245
Phone Number
417-414-0333
Fax Number
417-414-0333
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2018014976 (Missouri)
Definition
Definition to come...
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