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Individual

CARRIE DOUGLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
415 CASS ST, SUITE 2A & 2D, TRAVERSE CITY, MI 49684-2589
(231) 346-5216
(231) 943-2590
Mailing address
415 CASS ST, SUITE 2A & 2D, TRAVERSE CITY, MI 49684-2589
(231) 346-5216
(231) 943-2590

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401015031
MI

Other

Enumeration date
10/26/2016
Last updated
10/26/2016
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