Individual provider · Type 1 NPI
Jimmy Wayne Douglas, LPC
Professional Counselor · Sherman, TX
NPI number
1750471629
Active
Practice location
812 East Pecan Grove Road
Sherman, TX 75090
Fax (903) 891-3378
Mailing address
520 West Birge Street
Sherman, TX 75092
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 14507 (TX) |
Professional Counselor: Definition to come...
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About NPI 1750471629
Jimmy Wayne Douglas, LPC's National Provider Identifier is 1750471629, issued on Oct 13, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Sherman, TX. The record was last updated on Jul 8, 2007.