Individual
WHITTNEY ELISE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 STAMP RD STE 208B, TEMPLE HILLS, MD 20748-6728
(301) 278-7956
Mailing address
4351 TELFAIR BLVD APT G410, CAMP SPRINGS, MD 20746-4291
(901) 573-1623
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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