Individual
JAMES EDWARD DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
143 POTTLE RD, OXFORD, ME 04270-3362
(207) 743-7911
(204) 743-7913
Mailing address
58 HUNTINGTON AVE, NORWAY, ME 04268-5600
(207) 743-7114
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC2736
ME
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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