Individual
ROBERT DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSA CERTIFICATION
Contact information
Practice address
3721 RIVER PARK DR, LOUISVILLE, KY 40211-3024
(502) 609-0034
Mailing address
11900 BOYDTON CT, LOUISVILLE, KY 40245-1807
(502) 579-3236
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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