person
Anthony Imagie-douglas, LICDC
Addiction (Substance Use Disorder) Counselor in Circleville, Ohio
NPI 1578146635

Anthony Imagie-douglas is an Addiction (Substance Use Disorder) Counselor based in Circleville, OH and is specialized in Addiction (Substance Use Disorder). Anthony Imagie-douglas practices in Circleville, OH and has the professional credentials of LICDC. The NPI Number for Anthony Imagie-douglas is 1578146635 and holds a License No. LICDC.111022 (Ohio).

The current practice location address for Anthony Imagie-douglas is 1875 Stoneridge Dr, Circleville, OH and can be reached out via phone at 740-500-1391.

Location: 1875 Stoneridge Dr, Circleville, OH, 43113-8956
person
Provider Profile Details
NPI Number
1578146635
Provider Name
Anthony Imagie-douglas
Credential
LICDC
Provider Entity Type
Individual
Gender
Male
Address
1875 Stoneridge Dr, Circleville, OH, 43113-8956
Phone Number
740-500-1391
Fax Number
Provider Enumeration Date
05/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1875 Stoneridge Dr
City
State
Zip
43113-8956
Phone Number
740-500-1391
Fax Number
person
Provider Business Mailing Address Details
Address
1875 Stoneridge Dr
City
State
Zip
43113-8956
Phone Number
740-500-1391
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LICDC.111022 (Ohio)
Definition
Definition to come...
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