Individual
SONYA RENEE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2116 JUSTICE ST, MONROE, LA 71201-3618
(318) 807-2025
(318) 807-2028
Mailing address
2116 JUSTICE ST, MONROE, LA 71201-3618
(318) 807-2025
(318) 807-2028
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5903
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CIT
—
LA
Enumeration date
07/19/2022
Last updated
11/25/2024
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