Individual
DEBORAH CORINNE DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1716 GREEN WING DR, JOHNSTOWN, CO 80534-9257
(970) 405-0901
Mailing address
1716 GREEN WING DR, JOHNSTOWN, CO 80534-9257
(970) 405-0901
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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