Individual
KAREN L DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
253 18TH AVENUE, PATERSON, NJ 07504
(973) 452-8566
(188) 291-1727
Mailing address
253 18TH AVE, PATERSON, NJ 07504-1625
(973) 452-8566
(188) 829-1727
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
D68014247354662
NJ
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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