Individual
DR. DOUGLAS L WALDRUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
331 MARTIN LUTHER KING JR DR, GREENSBORO, NC 27406-1620
(336) 273-0841
Mailing address
331 MARTIN LUTHER KING JR DR, GREENSBORO, NC 27406-1620
(336) 273-0841
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2236
NC
106H00000X
Marriage & Family Therapist
426
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1132V
BCBS PROVIDER NUMBER
NC
05
—
6104214
—
NC
Enumeration date
05/07/2007
Last updated
02/15/2011
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