Michael Douglas JR.

NPI #1972908770 in Elgin, Illinois

Provider Information

NPI Number: 1972908770
Entity Type: Individual
Name: Michael Douglas JR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Oct 23, 2014
Last Updated: Oct 23, 2014

Practice Location

Address: 1845 GRANDSTAND PLACE
City: Elgin
State: Illinois
ZIP Code: 60123
Phone: (847) 695-0484

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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