Nichole Kristen Douglas
NPI #1174844476 in Windsor, California
Provider Information
- NPI Number
- 1174844476
- Entity Type
- Individual
- Name
- Nichole Kristen Douglas
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Jun 21, 2010
- Last Updated
- May 22, 2012
Practice Location
- Address
- 1289 SEGHESIO WAY
- City
- Windsor
- State
- California
- ZIP Code
- 95492-7711
- Phone
- (707) 695-2916
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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