Gary Douglas

NPI #1205133618 in Hazard, Kentucky

Provider Information

NPI Number: 1205133618
Entity Type: Individual
Name: Gary Douglas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Feb 21, 2011
Last Updated: May 1, 2014

Practice Location

Address: 115 ROCKWOOD LN
City: Hazard
State: Kentucky
ZIP Code: 41701-9415
Phone: (606) 436-5761

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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