JAMIE S. DOUGLAS MA LMHC LMFTA ICACII NPI 1780981001

NPI Information

NPI: 1780981001
Provider Name: JAMIE S. DOUGLAS, MA LMHC LMFTA ICACII
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
304 S. PERRY ST
ATTICA, IN
ZIP 47918
Phone: (765) 762-0611
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Jamie S. Douglas, MA LMHC LMFTA ICACII is a mental health counselor in Attica, IN. Jamie S. Douglas, MA LMHC LMFTA ICACII NPI is 1780981001. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

304 S. PERRY ST
ATTICA, IN
ZIP 47918
Phone: (765) 762-0611

The enumeration date for this NPI number is 2/23/2011 and was last updated on 2/23/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	106H00000X	Marriage & Family Therapist		85000031A	INDIANA	No
2	101YM0800X	Counselor	Mental Health	39002241A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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