Individual provider · Type 1 NPI
Beatrice Elena Douglass
Addiction (Substance Use Disorder) Counselor · Moreno Valley, CA
NPI number
1710729330
Active
Practice location
11396 Hubbard St
Moreno Valley, CA 92557-5649
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1710729330
Beatrice Elena Douglass's National Provider Identifier is 1710729330, issued on Jun 12, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Moreno Valley, CA. The record was last updated on Jun 12, 2024.