Individual
MS. ELEANORE S DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1011 FLORA DR, SANTA FE, NM 87505-5221
(505) 310-5988
Mailing address
1011 FLORA DR, SANTA FE, NM 87505-5221
(505) 310-5988
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0091581
NM
101YA0400X
Addiction (Substance Use Disorder) Counselor
0091581
NM
101YM0800X
Mental Health Counselor
0091581
NM
101YP2500X
Professional Counselor
Primary
0091581
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58032304
—
NJ
Enumeration date
09/15/2006
Last updated
09/11/2025
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