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Mrs. Ellen Douglas, LPC
Mental Health Counselor in Raleigh, North Carolina
NPI 1558612036

Ellen Douglas is a Mental Health Counselor based in Raleigh, NC and is specialized in Mental Health. Ellen Douglas practices in Raleigh, NC and has the professional credentials of LPC. The NPI Number for Ellen Douglas is 1558612036 and holds a License No. 8577 (North Carolina).

The current practice location address for Ellen Douglas is 901 Paverstone Dr, Raleigh, NC and can be reached out via phone at 919-818-4284.

Location: 901 Paverstone Dr, Raleigh, NC, 27604-2357
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558612036
Provider Name
Ellen Douglas
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
901 Paverstone Dr, Raleigh, NC, 27604-2357
Phone Number
919-818-4284
Fax Number
Provider Enumeration Date
09/25/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P99260 05 NC
institution
Provider Business Practice Location Address Details
Address
901 Paverstone Dr
City
Raleigh
State
North Carolina
Zip
27615-4710
Phone Number
919-818-4284
Fax Number
person
Provider Business Mailing Address Details
Address
901 Paverstone Dr
City
Raleigh
State
North Carolina
Zip
27615-4710
Phone Number
919-818-4284
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
8577 (North Carolina)
Definition
Definition to come...
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