person
Mr. Mark William Douglass, LPC
Addiction (Substance Use Disorder) Counselor in Clackamas, Oregon
NPI 1023283660

Mark William Douglass is an Addiction (Substance Use Disorder) Counselor based in Clackamas, OR and is specialized in Addiction (Substance Use Disorder). Mark William Douglass practices in Clackamas, OR and has the professional credentials of LPC. The NPI Number for Mark William Douglass is 1023283660 and holds a License No. C2839 (Oregon).

The current practice location address for Mark William Douglass is 10180 Se Sunnyside Rd, Clackamas, OR and can be reached out via phone at 503-517-0878 and via fax at 503-517-0866. You can also correspond with Mark William Douglass through the mailing address at 10180 SE SUNNYSIDE RD, CLACKAMAS, OR - 97015-8970 (mailing address contact number: 503-571-0878).

Location: 10180 Se Sunnyside Rd, Clackamas, OR, 97015-8970
person
Provider Profile Details
NPI Number
1023283660
Provider Name
Mark William Douglass
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
10180 Se Sunnyside Rd, Clackamas, OR, 97015-8970
Phone Number
503-517-0878
Fax Number
503-517-0866
Provider Enumeration Date
04/24/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10180 Se Sunnyside Rd
City
State
Zip
97015-8970
Phone Number
503-517-0878
Fax Number
503-517-0866
person
Provider Business Mailing Address Details
Address
10180 Se Sunnyside Rd
City
State
Zip
97015-8970
Phone Number
503-517-0878
Fax Number
503-517-0866
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
18-03-14 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C2839 (Oregon)
Definition
Definition to come...
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