Douglas, Sandra

Douglas, Sandra is an individual health care provider with primary practice located at 201 22Nd St , Ashland KY 41101-7803. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Douglas, Sandra can be contacted via phone (606) 324-1141.

Contact Information

Primary practice address
201 22Nd St Ashland KY 41101-7803
Phone: (606) 324-1141
Fax: (606) 325-8606
Website:
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Health care specialties

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

Profile Details

NPI number 1578757662
LBN Legal business name Douglas, Sandra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2007
Last updated Aug 31st, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578757662 NPPES
Kentucky MEDICAID 30610026

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