Individual provider · Type 1 NPI

Brandon Douglas

Mental Health Counselor · Haverhill, MA

NPI number 1396100400 Active

Practice location

1 Parkway
Haverhill, MA 01830-6278

Fax (978) 557-8798

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1396100400

Brandon Douglas's National Provider Identifier is 1396100400, issued on Dec 17, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Haverhill, MA. The record was last updated on Apr 16, 2016.