person
Elizabeth A Douglas, MA,LADC,LPCC
Mental Health Counselor in Coon Rapids, Minnesota
NPI 1336439306

Elizabeth A Douglas is a Mental Health Counselor based in Coon Rapids, MN and is specialized in Mental Health. Elizabeth A Douglas practices in Coon Rapids, MN and has the professional credentials of MA,LADC,LPCC. The NPI Number for Elizabeth A Douglas is 1336439306 and holds a License No. 302188 (Minnesota).

The current practice location address for Elizabeth A Douglas is 11660 Round Lake Blvd Nw, Coon Rapids, MN and can be reached out via phone at 763-439-4984 and via fax at 763-767-0912. You can also correspond with Elizabeth A Douglas through the mailing address at 11660 ROUND LAKE BLVD NW, COON RAPIDS, MN - 55433-2638 (mailing address contact number: 763-439-4984).

Location: 11660 Round Lake Blvd Nw, Coon Rapids, MN, 55433-2638
person
Provider Profile Details
NPI Number
1336439306
Provider Name
Elizabeth A Douglas
Credential
MA,LADC,LPCC
Provider Entity Type
Individual
Gender
Female
Address
11660 Round Lake Blvd Nw, Coon Rapids, MN, 55433-2638
Phone Number
763-439-4984
Fax Number
763-767-0912
Provider Enumeration Date
04/12/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11660 Round Lake Blvd Nw
City
State
Zip
55433-2638
Phone Number
763-439-4984
Fax Number
763-767-0912
person
Provider Business Mailing Address Details
Address
11660 Round Lake Blvd Nw
City
State
Zip
55433-2638
Phone Number
763-439-4984
Fax Number
763-767-0912
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
2409 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
302188 (Minnesota)
Definition
Definition to come...
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