person
Nicole Lee Douglas, ASSOCIATEMFT
Mental Health Counselor in Santa Rosa, California
NPI 1154956829

Nicole Lee Douglas is a Mental Health Counselor based in Petaluma, CA and is specialized in Mental Health. Nicole Lee Douglas practices in Santa Rosa, CA and has the professional credentials of ASSOCIATEMFT. The NPI Number for Nicole Lee Douglas is 1154956829 and holds a License No. 112167 (California).

The current practice location address for Nicole Lee Douglas is 3434 Mendocino Ave # A, Santa Rosa, CA and can be reached out via phone at 707-284-1978.

Location: 3434 Mendocino Ave # A, Santa Rosa, CA, 94954-8522
person
Provider Profile Details
NPI Number
1154956829
Provider Name
Nicole Lee Douglas
Credential
ASSOCIATEMFT
Provider Entity Type
Individual
Gender
Female
Address
3434 Mendocino Ave # A, Santa Rosa, CA, 94954-8522
Phone Number
707-284-1978
Fax Number
Provider Enumeration Date
03/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3434 Mendocino Ave # A
City
State
Zip
95403-2274
Phone Number
707-284-1978
Fax Number
person
Provider Business Mailing Address Details
Address
3434 Mendocino Ave # A
City
State
Zip
95403-2274
Phone Number
707-284-1978
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
112167 (California)
Definition
Definition to come...
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