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General NPI Number Information
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NPI Number | 1982119079
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Entity Type | Organization
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Legal Business Name | DOUGLAS COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 12/11/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 205 20TH ST N STE 410
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City | BIRMINGHAM
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State | AL
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Zip | 35203-4704
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Country | US
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Telephone | 205-266-1375
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Fax | 205-449-0040
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Provider Business Mailing Address
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Address Line | 205 20TH ST N STE 410
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City | BIRMINGHAM
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State | AL
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Zip | 35203-4704
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Country | US
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Telephone | 205-266-1375
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Fax | 205-449-0040
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Authorized Official
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Title or Position | OWNER/ THERAPIST
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Name | MR. RONALD E DOUGLAS
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Credential | LPC, LPC-S
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Telephone | 205-266-1375
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2859
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License Number State | AL
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