Individual provider · Type 1 NPI

James Thomas Douglass I, MS

Mental Health Counselor · Fairbanks, AK

NPI number 1154835601 Active

Practice location

1423 Peger Rd
Fairbanks, AK 99709-5169

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1154835601

James Thomas Douglass I, MS's National Provider Identifier is 1154835601, issued on Nov 20, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairbanks, AK. The record was last updated on Nov 20, 2017.