Individual
DARIUS DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC 2 21849
Contact information
Practice address
BLEULER PSYCHOTHERAPY CENTER 104-70 QUEENS BLVD, SUITE 500, FOREST HILLS, NY 11375
(718) 275-6010
Mailing address
BLEULER PSYCHOTHERAPY CENTER 104-70 QUEENS BLVD, SUITE 500, FOREST HILLS, NY 11375
(718) 275-6010
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21849
NY
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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