Individual provider · Type 1 NPI

Minnie Lynne Douglas, M.A.

Mental Health Counselor · Knoxville, TN

NPI number 1811036304 Active

Practice location

9111 Cross Park Dr, Suite 475
Knoxville, TN 37923-4506

Fax (865) 560-2580

Mailing address

153 Foust Hollow Rd
Heiskell, TN 37754-2917

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1811036304

Minnie Lynne Douglas, M.A.'s National Provider Identifier is 1811036304, issued on Feb 5, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Knoxville, TN. The record was last updated on Jul 8, 2007.