Individual
AMY DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1002 N 129TH INFANTRY DR STE F, JOLIET, IL 60435-3109
(815) 823-8460
(815) 823-8461
Mailing address
2234 WILLOW RD, HOMEWOOD, IL 60430-3221
(708) 539-9864
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/25/2015
Last updated
08/05/2020
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