Individual
REYNALDO ANTONIO DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1664 E 14TH ST FL 5, BROOKLYN, NY 11229-1155
(929) 273-7601
(718) 307-6871
Mailing address
47 MCKEEVER PL APT 8E, BROOKLYN, NY 11225-2540
(347) 845-8038
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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