Jonathan Michael Douglas

NPI #1043772387 in Holyoke, Massachusetts

Provider Information

NPI Number: 1043772387
Entity Type: Individual
Name: Jonathan Michael Douglas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Apr 4, 2019
Last Updated: Apr 4, 2019

Practice Location

Address: 80 COMMERCIAL ST
City: Holyoke
State: Massachusetts
ZIP Code: 01040-4704
Phone: (413) 846-0445

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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