Individual provider · Type 1 NPI

Brandon Douglas

Professional Counselor · Orland Park, IL

NPI number 1073050985 Active

Practice location

15303 S 94th Ave Ste 250
Orland Park, IL 60462-3825

Other practice locations

  • 20635 Abbey Woods Ct N Ste 209, Frankfort, IL 60423-3188 · (815) 640-1669

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Professional Counselor Primary 101YP2500X180015127 (IL)

Professional Counselor: Definition to come...

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About NPI 1073050985

Brandon Douglas's National Provider Identifier is 1073050985, issued on Jan 30, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Orland Park, IL. The record was last updated on Sep 10, 2026.