Individual
KATHLEEN M DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LCPC
Contact information
Practice address
5560 STERRETT PL, SUITE 201, COLUMBIA, MD 21044-2601
(410) 955-5555
(410) 995-5556
Mailing address
5325 COLUMBIA RD, APT. L, COLUMBIA, MD 21044-5518
(301) 821-6931
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC2341
MD
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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