Individual
JULEE MARIE DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADCII
Contact information
Practice address
564 MAIN ST STE 100, WALTHAM, MA 02452-5559
(781) 317-0005
Mailing address
564 MAIN ST STE 100, WALTHAM, MA 02452-5559
(781) 317-0005
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22842
MA
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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