person
Ms. Leslie As Douglass, LCSW
Mental Health Counselor in Kokomo, Indiana
NPI 1710104559

Leslie As Douglass is a Mental Health Counselor based in Indianapolis, IN and is specialized in Mental Health. Leslie As Douglass practices in Kokomo, IN and has the professional credentials of LCSW. The NPI Number for Leslie As Douglass is 1710104559 and holds a License No. 34005269A (Indiana).

The current practice location address for Leslie As Douglass is 322 N Main St, Kokomo, IN and can be reached out via phone at 765-453-8555 and via fax at 765-453-8020.

Location: 322 N Main St, Kokomo, IN, 46250-2890
person
Provider Profile Details
NPI Number
1710104559
Provider Name
Leslie As Douglass
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
322 N Main St, Kokomo, IN, 46250-2890
Phone Number
765-453-8555
Fax Number
765-453-8020
Provider Enumeration Date
04/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
322 N Main St
City
State
Zip
46901-4622
Phone Number
765-453-8555
Fax Number
765-453-8020
person
Provider Business Mailing Address Details
Address
322 N Main St
City
State
Zip
46901-4622
Phone Number
765-453-8555
Fax Number
765-453-8020
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
34005269A (Indiana)
Definition
Definition to come...
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