Individual
NATHAN DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12503 SE MILL PLAIN BLVD STE 119A, VANCOUVER, WA 98684-4007
(360) 314-6507
Mailing address
12503 SE MILL PLAIN BLVD STE 119A, VANCOUVER, WA 98684-4007
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60808571
WA
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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