Individual provider · Type 1 NPI
Martinette Z. Douglas
Mental Health Counselor · Quincy, IL
NPI number
1033676945
Active
Practice location
2931 Payson Hts Apt Suite
Quincy, IL 62305-6429
Mailing address
207 Calle De Parque, Apt, Suite, Bldg. (optional)
San Juan, PR 00907
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 180009750 (IL) |
Mental Health Counselor: Definition to come...
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About NPI 1033676945
Martinette Z. Douglas's National Provider Identifier is 1033676945, issued on Feb 27, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Quincy, IL. The record was last updated on Feb 27, 2019.