Individual
ULLANDA DAWN DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
830 W BROADWAY ST, CAMPBELLSVILLE, KY 42718-2701
(833) 510-4357
Mailing address
4600 MONTGOMERY RD STE 400, STE 400, CINCINNATI, OH 45212-2600
(833) 510-4357
(866) 460-2997
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701015838
VA
101YP2500X
Professional Counselor
Primary
252289
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100629670
—
KY
Enumeration date
01/08/2016
Last updated
01/27/2026
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