Douglas, Brandon

Douglas, Brandon is an individual health care provider with primary practice located at 15303 S 94Th Ave Ste 250 , Orland Park IL 60462-3825. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Douglas, Brandon can be contacted via phone (888) 428-7890.

Contact Information

Primary practice address
15303 S 94Th Ave Ste 250 Orland Park IL 60462-3825
Phone: (888) 428-7890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1073050985
LBN Legal business name Douglas, Brandon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2017
Last updated Feb 13th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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