Individual
DOUGLASS PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC, QS, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH17517
FL
101YP2500X
Professional Counselor
Primary
LPC005791
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC005791
GA COMPOSITE BOARD
GA
01
—
MH17517
FL BOARD OF MHC
FL
Enumeration date
11/30/2006
Last updated
03/30/2020
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