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Fred Doulton
Mental Health Counselor in Glen Head, New York
NPI 1639754138

Fred Doulton is a Mental Health Counselor based in Glen Head, NY and is specialized in Mental Health. Fred Doulton practices in Glen Head, NY. The NPI Number for Fred Doulton is 1639754138 and holds a License No. 011164 (New York).

The current practice location address for Fred Doulton is 102 Glen Cove Dr, Glen Head, NY and can be reached out via phone at 516-551-5493.

Location: 102 Glen Cove Dr, Glen Head, NY, 11545-1715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639754138
Provider Name
Fred Doulton
Credential
Provider Entity Type
Individual
Gender
Male
Address
102 Glen Cove Dr, Glen Head, NY, 11545-1715
Phone Number
516-551-5493
Fax Number
Provider Enumeration Date
03/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
102 Glen Cove Dr
City
Glen Head
State
New York
Zip
11545-1715
Phone Number
516-551-5493
Fax Number
person
Provider Business Mailing Address Details
Address
102 Glen Cove Dr
City
Glen Head
State
New York
Zip
11545-1715
Phone Number
516-551-5493
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
011164 (New York)
Definition
Definition to come...
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