Individual provider · Type 1 NPI

Raymond Edward Douglas, CADC III

Addiction (Substance Use Disorder) Counselor · Fremont, CA

NPI number 1407317704 Active

Practice location

37437 Glenmoor Dr
Fremont, CA 94536-5731

Call (510) 713-3200 Map

Fax (510) 713-0684

Mailing address

4510 Peralta Blvd Ste 1
Fremont, CA 94536-5755

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XB001791124 (CA)
Addiction (Substance Use Disorder) Counselor 101YA0400XR1326931018 (CA)
Addiction (Substance Use Disorder) Counselor 101YA0400X19319 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1407317704

Raymond Edward Douglas, CADC III's National Provider Identifier is 1407317704, issued on Mar 28, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fremont, CA. The record was last updated on Sep 29, 2026.