Individual provider · Type 1 NPI

Stephanie Douglas

Professional Counselor · Fairview Heights, IL

NPI number 1952258568 Active

Practice location

8 Executive Dr
Fairview Heights, IL 62208-1345

Call (618) 866-4727 Map

Mailing address

14 Cougar Dr Apt A
Glen Carbon, IL 62034-3901

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178.015265 (IL)

Professional Counselor: Definition to come...

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About NPI 1952258568

Stephanie Douglas's National Provider Identifier is 1952258568, issued on Mar 12, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fairview Heights, IL. The record was last updated on Mar 12, 2026.