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Contact Information

KIMBERLY A DOUGLAS, LPC
707 W MILWAUKEE ST
DETROIT, MI48202-2943
 Phone: 313-833-2500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Counselor

101Y00000X
 

Pastoral

101YP1600X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for KIMBERLY A DOUGLAS · (Female)

NPI Number 1932406659
Status Active
Credentials LPC (Licensed Professional Counselor)
Entity Individual
Enumeration date 02/15/2011
Last updated 10/20/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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