Individual
STEVEN DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
999 ASYLUM AVE, HARTFORD, CT 06105-2416
(860) 523-9788
(860) 714-9675
Mailing address
72 SPRING LN, WEST HARTFORD, CT 06107-3326
(860) 778-0883
(203) 983-9686
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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