Individual
ESSENCE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
C/O 1001 DUMONT BLVD APT 172, LAS VEGAS, NV 89169-4271
(313) 758-8396
Mailing address
C/O 1001 DUMONT BLVD APT 172, LAS VEGAS, NV 89169-4271
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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