Individual
MRS. ALICEA MICHELLE DOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4380 REDHAWK DR SE, ROCHESTER, MN 55904-7826
(912) 220-4242
Mailing address
4380 REDHAWK DR SE, ROCHESTER, MN 55904-7826
(912) 220-4242
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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