Individual
PROF. ROBERT EDWARD DOUGLAS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT. LPC
Contact information
Practice address
115 FRANKLIN AVE, FAIRVIEW, NJ 07022-1009
(901) 628-1843
Mailing address
115 FRANKLIN AVE, FAIRVIEW, NJ 07022-1009
(901) 628-1843
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC01157100
NJ
106H00000X
Marriage & Family Therapist
37FI00243000
NJ
Other
Enumeration date
06/09/2025
Last updated
06/24/2025
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