Individual
BRENT ALLEN DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., LMHC
Contact information
Practice address
6390 NE RISING SUN DR, PLEASANT HILL, IA 50327-2178
(515) 953-9083
Mailing address
3237 E WASHINGTON AVE, DES MOINES, IA 50317-8654
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001256
IA
Other
Enumeration date
08/09/2010
Last updated
03/11/2013
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