Individual
BARBARA JEAN A. DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
305 LIGHTHOUSE DR, VALLEJO, CA 94590
(585) 208-6765
Mailing address
305 LIGHTHOUSE DR, VALLEJO, CA 94590-4005
(585) 208-6765
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
079209
NY
1041C0700X
Clinical Social Worker
Primary
83092
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079209
—
NY
05
—
83092
—
CA
Enumeration date
11/09/2009
Last updated
06/19/2018
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