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Miss Blake M Douglas, LPC
Professional Counselor in Thornton, Illinois
NPI 1932834785

Blake M Douglas is a Professional Counselor based in Willow Springs, IL and is specialized in Professional. Blake M Douglas practices in Thornton, IL and has the professional credentials of LPC. The NPI Number for Blake M Douglas is 1932834785 and holds a License No. 178.015522 (Illinois).

The current practice location address for Blake M Douglas is 705 E Margaret St, Thornton, IL and can be reached out via phone at 708-855-1998.

Location: 705 E Margaret St, Thornton, IL, 60480-0621
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Provider Profile Details
NPI Number
1932834785
Provider Name
Blake M Douglas
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
705 E Margaret St, Thornton, IL, 60480-0621
Phone Number
708-855-1998
Fax Number
Provider Enumeration Date
07/17/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
178.015522 01 IL IDFPR
institution
Provider Business Practice Location Address Details
Address
705 E Margaret St
City
State
Zip
60476-1336
Phone Number
708-855-1998
Fax Number
person
Provider Business Mailing Address Details
Address
705 E Margaret St
City
State
Zip
60476-1336
Phone Number
708-855-1998
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178.015522 (Illinois)
Definition
Definition to come...
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