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Demitra Douglas
Addiction (Substance Use Disorder) Counselor in Santa Cruz, California
NPI 1386375186

Demitra Douglas is an Addiction (Substance Use Disorder) Counselor based in Santa Cruz, CA and is specialized in Addiction (Substance Use Disorder). Demitra Douglas practices in Santa Cruz, CA. The NPI Number for Demitra Douglas is 1386375186 and holds a License No. R1446311021 (California).

The current practice location address for Demitra Douglas is 200 7Th Ave Ste 150, Santa Cruz, CA and can be reached out via phone at 831-462-1060.

Location: 200 7Th Ave Ste 150, Santa Cruz, CA, 95062-4669
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386375186
Provider Name
Demitra Douglas
Credential
Provider Entity Type
Individual
Gender
Female
Address
200 7Th Ave Ste 150, Santa Cruz, CA, 95062-4669
Phone Number
831-462-1060
Fax Number
Provider Enumeration Date
06/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 7Th Ave Ste 150
City
Santa Cruz
State
California
Zip
95062-4669
Phone Number
831-462-1060
Fax Number
person
Provider Business Mailing Address Details
Address
200 7Th Ave Ste 150
City
Santa Cruz
State
California
Zip
95062-4669
Phone Number
831-462-1060
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
R1446311021 (California)
Definition
Definition to come...
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