Individual
MR. DOUGLAS EDWARD HEADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
241 BROAD ST, MONTOURSVILLE, PA 17754-2283
(570) 433-7060
(570) 567-7184
Mailing address
641 REBER RD, MIFFLINBURG, PA 17844-6935
(570) 412-5070
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC000652
PA
Other
Enumeration date
10/25/2017
Last updated
03/17/2018
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