Individual
GREGORY A DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1131 MCHENRY RD STE 107A, BUFFALO GROVE, IL 60089-1369
(847) 807-8777
Mailing address
263 OLD OAK CT W, BUFFALO GROVE, IL 60089-3658
(815) 520-2094
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.017058
IL
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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