Individual
FELICIA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
512 E TEXAS AVE, RUSTON, LA 71270-4555
(183) 313-9773
Mailing address
512 E TEXAS AVE, RUSTON, LA 71270-4555
(318) 331-3977
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/08/2016
Last updated
05/29/2025
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