Individual
KAITLYN JOYCE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2520 VETERANS DR N, HUNTINGDON, TN 38344-6212
(731) 415-3994
Mailing address
2520 VETERANS DR N, HUNTINGDON, TN 38344-6212
(731) 415-3994
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7728
TN
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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