Individual provider · Type 1 NPI

Jenniffer Douglas

Counselor · Fort Myers, FL

NPI number 1366812612 Active

Practice location

3049 Cleveland Ave Ste 269
Fort Myers, FL 33901-7047

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1366812612

Jenniffer Douglas's National Provider Identifier is 1366812612, issued on Sep 30, 2015. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fort Myers, FL. The record was last updated on Sep 30, 2015.