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Contact Information

JAMIE S DOUGLAS, MA LMHC LMFTA ICACII
304 S. PERRY ST
ATTICA, IN47918
 Phone: 765-762-0611
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Marriage & Family Therapist

106H00000X
Indicates primary specialty

NPI Profile & details for JAMIE S DOUGLAS · (Female)

NPI # 1780981001
Status Active
Credentials MA LMHC LMFTA ICACII
Entity Individual
Enumeration date 02/23/2011
Last updated 02/23/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 39002241A
  • IN License # 85000031A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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