Individual
CHRISTOPHER DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4701 PLUM PEACH BND, AUSTIN, TX 78723-6053
(561) 339-4596
Mailing address
4701 PLUM PEACH BND, AUSTIN, TX 78723-6053
(561) 339-4596
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
SW13779
FL
1041C0700X
Clinical Social Worker
Primary
SW13779
FL
Other
Enumeration date
07/15/2016
Last updated
01/09/2025
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