Individual provider · Type 1 NPI

Reynaldo Antonio Douglas

Addiction (Substance Use Disorder) Counselor · Brooklyn, NY

NPI number 1801428990 Active

Practice location

1664 E 14th St Fl 5
Brooklyn, NY 11229-1155

Fax (718) 307-6871

Mailing address

47 Mckeever Pl Apt 8E
Brooklyn, NY 11225-2540

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1801428990

Reynaldo Antonio Douglas's National Provider Identifier is 1801428990, issued on Feb 7, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brooklyn, NY. The record was last updated on Feb 7, 2020.