Linda S Douglas, LICDC-CS, LISW-S

NPI #1932112935 in Mason, Ohio

Provider Information

NPI Number: 1932112935
Entity Type: Individual
Name: Linda S Douglas, LICDC-CS, LISW-S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LICDC-CS, LISW-S
Enumeration Date: Aug 14, 2006
Last Updated: Feb 9, 2024

Practice Location

Address: 4483 US ROUTE 42
City: Mason
State: Ohio
ZIP Code: 45040-1934
Phone: (513) 834-7063

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker - Clinical — Clinical	1041C0700X
Social Worker	104100000X	Primary

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