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Organization

BRANDON DOUGLAS, LCPC, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRANDON DOUGLAS LCPC (LICENSED PROFESSIONAL COUNSELOR)
(309) 706-4989
Entity
Organization

Contact information

Practice address
8 HERITAGE PLAZA, BOURBONNAIS, IL 60914
(309) 706-4989
Mailing address
6933 175TH ST, TINLEY PARK, IL 60477-3826
(309) 706-4989

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
05/09/2023
Last updated
07/03/2023
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