Individual provider · Type 1 NPI

Destiny Katherine Douglas, LPC

Mental Health Counselor · Newport News, VA

NPI number 1497384739 Active

Practice location

17579 Warwick Blvd
Newport News, VA 23603-1343

Mailing address

1436 N Mount Vernon Ave Apt A
Williamsburg, VA 23185-7134

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X0710103485 (VA)
Mental Health Counselor Primary 101YM0800X0701009025 (VA)

Mental Health Counselor: Definition to come...

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About NPI 1497384739

Destiny Katherine Douglas, LPC's National Provider Identifier is 1497384739, issued on Apr 8, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Newport News, VA. The record was last updated on Apr 8, 2020.