Individual provider · Type 1 NPI

Michael Robert Douglas

Mental Health Counselor · Monroe, WA

NPI number 1376464966 Active

Practice location

809 W Main St Ste C
Monroe, WA 98272-2172

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1376464966

Michael Robert Douglas's National Provider Identifier is 1376464966, issued on Jul 22, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Monroe, WA. The record was last updated on Jul 22, 2026.