Individual
MRS. ELISE MARGUERITE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2121 MAIN STREET, SULPHER SPRINGS, TX 75482
(903) 885-2776
(903) 885-3613
Mailing address
PO BOX 146, SULPHER SPRINGS, TX 75483-0146
(903) 885-2776
(903) 885-3613
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
15505
TX
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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