Individual
ALECIA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2600 SE 23RD ST, TOPEKA, KS 66605-1747
(785) 232-7444
(785) 232-7449
Mailing address
1301 W 24TH ST, APT# I-1, LAWRENCE, KS 66046-5719
(480) 570-8852
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
8209
KS
104100000X
Social Worker
Primary
8209
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
KS
—
KS
Enumeration date
11/14/2011
Last updated
11/14/2011
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