Phares, Douglas
Phares, Douglas is an sole proprietor health care provider with primary practice located at 119 West Ave , Kannapolis NC 28081-4332. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Phares, Douglas can be contacted via phone (704) 630-6634.Contact Information
Primary practice address
119 West Ave
Kannapolis NC 28081-4332
Phone: (704) 630-6634
Fax: (866) 828-5520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | A12097 | North Carolina |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | A12097 | North Carolina |
Profile Details
| NPI number | 1497110464 |
|---|---|
| LBN Legal business name | Phares, Douglas |
| Credentials | LPCA, M.A. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 17th, 2015 |
| Last updated | Dec 17th, 2015 - about 10 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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