Individual provider · Type 1 NPI

Elliot Taylor Douglas, LMHC, BCBA

Mental Health Counselor · Kingston, NY

NPI number 1396072674 Active

Practice location

139 Cornell St
Kingston, NY 12401-3633

Call (845) 338-1234 Map

Fax (845) 338-6284

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X005051 (NY)
Behavior Analyst 103K00000XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1396072674

Elliot Taylor Douglas, LMHC, BCBA's National Provider Identifier is 1396072674, issued on Nov 8, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kingston, NY. The record was last updated on Jun 14, 2016.