Individual
MS. DESIREE RICHELLE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
1320 ARNOLD DR STE 261, MARTINEZ, CA 94553-6537
(707) 210-5444
Mailing address
900 CAMBRIDGE DR UNIT 140, BENICIA, CA 94510-3682
(707) 210-5444
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
—
—
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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