Individual
DOUG RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MAMFT
Contact information
Practice address
400 MARKET ST, MIFFLINBURG, PA 17844-1249
(570) 884-4662
Mailing address
PO BOX 54, MIFFLINBURG, PA 17844-0054
(570) 884-4662
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/09/2018
Last updated
09/18/2018
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