NICOLE LEE DOUGLAS

SANTA ROSA, CA
NPI1154956829
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  112167)
Enumeration Date2020-03-03
Last Update Date2020-03-03
Business Address
NICOLE LEE DOUGLAS Associate MFT
3434 MENDOCINO AVE # A
SANTA ROSA, CA 95403-2274
Phone number: 707-284-1978
Mailing Address
NICOLE LEE DOUGLAS Associate MFT
1757 AVILA RANCH DR
PETALUMA, CA 94954-8522
Phone number: 415-823-8647
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