Organization
MADELINE C DOUGLAS
Active
Other names
Madeline C Douglas
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MADELINE C DOUGLAS LCSW (OWNER)
(217) 607-4215
Entity
Organization
Contact information
Practice address
1255 W COLTON AVE, REDLANDS, CA 92374-2861
(909) 363-4661
(909) 495-1634
Mailing address
PO BOX 1023, SAN BERNARDINO, CA 92402-1023
(217) 607-4215
(909) 495-1634
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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