Jonathan David Douglass, MA, LAC
NPI #1093059859 in Northfield, New Jersey
Provider Information
- NPI Number
- 1093059859
- Entity Type
- Individual
- Name
- Jonathan David Douglass, MA, LAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- MA, LAC
- Enumeration Date
- Nov 18, 2012
- Last Updated
- Nov 18, 2012
Practice Location
- Address
- 1750 ZION RD STE 209
- City
- Northfield
- State
- New Jersey
- ZIP Code
- 08225-1844
- Phone
- (609) 204-6134
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Professional — Professional |
| Marriage & Family Therapist |
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