Individual provider · Type 1 NPI

Nicoy Douglas

Mental Health Counselor · Rochester, NY

NPI number 1538095013 Active

Practice location

67 Heberle Rd
Rochester, NY 14609-1702

Call (585) 285-8703 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1538095013

Nicoy Douglas's National Provider Identifier is 1538095013, issued on Jun 22, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rochester, NY. The record was last updated on Jun 22, 2026.