Individual provider · Type 1 NPI
Robert Douglas, CSA CERTIFICATION
Mental Health Counselor · Louisville, KY
NPI number
1730973330
Active
Practice location
3721 River Park Dr
Louisville, KY 40211-3024
Mailing address
11900 Boydton Ct
Louisville, KY 40245-1807
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1730973330
Robert Douglas, CSA CERTIFICATION's National Provider Identifier is 1730973330, issued on Apr 8, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Louisville, KY. The record was last updated on Apr 8, 2025.