Individual provider · Type 1 NPI

Fred Doulton

Mental Health Counselor · Glen Head, NY

NPI number 1639754138 Active

Practice location

102 Glen Cove Dr
Glen Head, NY 11545-1715

Call (516) 551-5493 Map

Other practice locations

  • 110 Main St, Mineola, NY 11501-4000 · (516) 747-5644

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X011164 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1639754138

Fred Doulton's National Provider Identifier is 1639754138, issued on Mar 16, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Glen Head, NY. The record was last updated on Mar 16, 2021.