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Individual

ANNE DOUGLAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MAPC, LPC, LASAC

Contact information

Practice address
2990 E NORTHERN AVE STE A100, PHOENIX, AZ 85028-4834
(602) 525-6049
Mailing address
2990 E NORTHERN AVE STE A100, PHOENIX, AZ 85028-4834
(602) 525-6049

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-22248
AZ

Other

Enumeration date
07/12/2023
Last updated
07/12/2023
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