Individual
MR. KAJ GERARD DOUGLAS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9550 S EASTERN AVE, SUITE 253, LAS VEGAS, NV 89123-8038
(702) 204-9720
Mailing address
9550 S EASTERN AVE STE 253, LAS VEGAS, NV 89123-8042
(702) 759-6282
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/21/2012
Last updated
07/21/2022
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