Individual provider · Type 1 NPI

Rickey Douglas

Mental Health Counselor · Shreveport, LA

NPI number 1396242483 Active

Practice location

9403 Mansfield Rd
Shreveport, LA 71118-3815

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1396242483

Rickey Douglas's National Provider Identifier is 1396242483, issued on Apr 6, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Apr 6, 2018.