Individual provider · Type 1 NPI

Lora Renee Douglas, RADT

Addiction (Substance Use Disorder) Counselor · Fremont, CA

NPI number 1548820095 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 101YA0400XR1332031218 (CA)

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

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About NPI 1548820095

Lora Renee Douglas, RADT's National Provider Identifier is 1548820095, issued on Jun 17, 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 Jun 17, 2019.