Individual
ANDREA DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
717 EVERT DR, DOTHAN, AL 36305-3126
(334) 718-0267
Mailing address
717 EVERT DR, DOTHAN, AL 36305-3126
(334) 718-0267
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
LPC011262
GA
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/05/2014
Last updated
09/22/2025
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