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Dally Nicole Douglas, MS,RBT
Counselor in Little River, South Carolina
NPI 1730605825

Dally Nicole Douglas is a Counselor based in Little River, SC. Dally Nicole Douglas practices in Little River, SC and has the professional credentials of MS,RBT. The NPI Number for Dally Nicole Douglas is 1730605825 and holds a License No. (South Carolina).

The current practice location address for Dally Nicole Douglas is 4313 River Gate Ln, Little River, SC and can be reached out via phone at 910-545-8353.

Location: 4313 River Gate Ln, Little River, SC, 29566-6828
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730605825
Provider Name
Dally Nicole Douglas
Credential
MS,RBT
Provider Entity Type
Individual
Gender
Female
Address
4313 River Gate Ln, Little River, SC, 29566-6828
Phone Number
910-545-8353
Fax Number
Provider Enumeration Date
08/21/2017
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
4313 River Gate Ln
City
Little River
State
South Carolina
Zip
29566-6828
Phone Number
910-545-8353
Fax Number
person
Provider Business Mailing Address Details
Address
4313 River Gate Ln
City
Little River
State
South Carolina
Zip
29566-6828
Phone Number
910-545-8353
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(South Carolina)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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