Individual
MR. RONALD E DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., LPC
Contact information
Practice address
205 20TH ST N, SUITE 410, BIRMINGHAM, AL 35203-3609
(205) 266-1375
Mailing address
P.O. BOX 311566, FORESTDALE, AL 35214
(205) 266-1375
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2859
AL
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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