Individual provider · Type 1 NPI

Theresa A. Douglas, MS., LPC-T

Professional Counselor · Janesville, WI

NPI number 1376971226 Active

Practice location

4539 Woodgate Dr Ste D
Janesville, WI 53546-8205

Call (818) 208-4774 Map

Other practice locations

  • 428 S Yellowstone Dr, Madison, WI 53719-1043 · (818) 208-4774

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X5662-125 (WI)
Professional Counselor Primary 101YP2500XNone listed

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About NPI 1376971226

Theresa A. Douglas, MS., LPC-T's National Provider Identifier is 1376971226, issued on Oct 30, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Janesville, WI. The record was last updated on Mar 10, 2026.