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Michael Douglas JR.
Mental Health Counselor in Elgin, Illinois
NPI 1972908770

Michael Douglas JR. is a Mental Health Counselor based in Gilberts, IL and is specialized in Mental Health. Michael Douglas JR. practices in Elgin, IL. The NPI Number for Michael Douglas JR. is 1972908770 and holds a License No. (Illinois).

The current practice location address for Michael Douglas JR. is 1845 Grandstand Place, Elgin, IL and can be reached out via phone at 847-695-0484.

Location: 1845 Grandstand Place, Elgin, IL, 60136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972908770
Provider Name
Michael Douglas JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1845 Grandstand Place, Elgin, IL, 60136
Phone Number
847-695-0484
Fax Number
Provider Enumeration Date
10/23/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1845 Grandstand Place
City
Elgin
State
Illinois
Zip
60123
Phone Number
847-695-0484
Fax Number
person
Provider Business Mailing Address Details
Address
1845 Grandstand Place
City
Elgin
State
Illinois
Zip
60123
Phone Number
847-695-0484
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(Illinois)
Definition
Definition to come...
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