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John Douglas
Mental Health Counselor in Santa Maria, California
NPI 1639931744

John Douglas is a Mental Health Counselor based in Santa Maria, CA and is specialized in Mental Health. John Douglas practices in Santa Maria, CA. The NPI Number for John Douglas is 1639931744 and holds a License No. ASW115019 (California).

The current practice location address for John Douglas is 812 Lucinda Ct, Santa Maria, CA and can be reached out via phone at 805-458-6087.

Location: 812 Lucinda Ct, Santa Maria, CA, 93455-3202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639931744
Provider Name
John Douglas
Credential
Provider Entity Type
Individual
Gender
Male
Address
812 Lucinda Ct, Santa Maria, CA, 93455-3202
Phone Number
805-458-6087
Fax Number
Provider Enumeration Date
01/24/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
812 Lucinda Ct
City
Santa Maria
State
California
Zip
93455-3202
Phone Number
805-458-6087
Fax Number
person
Provider Business Mailing Address Details
Address
812 Lucinda Ct
City
Santa Maria
State
California
Zip
93455-3202
Phone Number
805-458-6087
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
ASW115019 (California)
Definition
Definition to come...
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