Maria Douglas
Counselor, Mental Health in Bronx, NY. Individual provider (NPI-1).
NPI number1962027151
StatusActive
Last updated in NPPESJun 12, 2020
Details
- NPI
- 1962027151
- Entity type
- Individual (NPI-1)
- Name
- Maria Douglas
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 12, 2020
- Certification date
- Jun 12, 2020
- Last updated
- Jun 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | NY | Yes |
Practice location
801 Tilden St Apt 7hBronx, NY 10467-6029
Phone 646-639-4907
Mailing address
801 Tilden St Apt 7hBronx, NY 10467-6029
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