Individual provider · Type 1 NPI

Kendra Douglas

Addiction (Substance Use Disorder) Counselor · Lemon Grove, CA

NPI number 1891165056 Active

Practice location

2049 Skyline Dr
Lemon Grove, CA 91945-4221

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 1891165056

Kendra Douglas's National Provider Identifier is 1891165056, issued on Sep 30, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lemon Grove, CA. The record was last updated on Sep 30, 2015.