person
Jennifer R Douglas, LPC
Professional Counselor in Erie, Pennsylvania
NPI 1659904522

Jennifer R Douglas is a Professional Counselor based in Erie, PA and is specialized in Professional. Jennifer R Douglas practices in Erie, PA and has the professional credentials of LPC. The NPI Number for Jennifer R Douglas is 1659904522 and holds a License No. (Pennsylvania).

The current practice location address for Jennifer R Douglas is 1601 Sassafras St, Erie, PA and can be reached out via phone at 814-528-0600 and via fax at 814-528-0601.

Location: 1601 Sassafras St, Erie, PA, 16502-1858
person
Provider Profile Details
NPI Number
1659904522
Provider Name
Jennifer R Douglas
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1601 Sassafras St, Erie, PA, 16502-1858
Phone Number
814-528-0600
Fax Number
814-528-0601
Provider Enumeration Date
02/19/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
102632671 05 PA
institution
Provider Business Practice Location Address Details
Address
1601 Sassafras St
City
State
Zip
16502-1858
Phone Number
814-528-0600
Fax Number
814-528-0601
person
Provider Business Mailing Address Details
Address
1601 Sassafras St
City
State
Zip
16502-1858
Phone Number
814-528-0600
Fax Number
814-528-0601
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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