Individual provider · Type 1 NPI

Douglas Albert Bain

Mental Health Counselor · Mammoth Lakes, CA

NPI number 1871646752 Active

Practice location

452 Old Mammoth Road, Suite K
Mammoth Lakes, CA 93546-2619

Call (760) 924-1740 Map

Fax (760) 924-1741

Mailing address

PO Box 2619
Mammoth Lakes, CA 93546-2619

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1871646752

Douglas Albert Bain's National Provider Identifier is 1871646752, issued on Jan 22, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mammoth Lakes, CA. The record was last updated on Jul 8, 2007.