Individual
MRS. JAMIE LYNNE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
7007 WYOMING BLVD NE STE D5, ALBUQUERQUE, NM 87109-3981
(505) 298-3303
Mailing address
2800 VERMONT ST NE, ALBUQUERQUE, NM 87110-3746
(505) 314-4343
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2023-0723
NM
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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