JONATHAN DAVID DOUGLASS

NORTHFIELD, NJ
NPI1093059859
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: NJ  37AC00141100)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NJ  37AC00141100)
106H00000X Marriage & Family Therapist
(Licence: NJ  37AC00141100)
Enumeration Date2012-11-18
Last Update Date2012-11-18
Business Address
-- JONATHAN DAVID DOUGLASS MA, LAC
1750 ZION RD STE 209
NORTHFIELD, NJ 08225-1844
Phone number: 609-204-6134
Mailing Address
-- JONATHAN DAVID DOUGLASS MA, LAC
1750 ZION RD STE 209
NORTHFIELD, NJ 08225-1844
Phone number: 609-204-6134