Brandon Douglas
Brandon Douglas is a Counselor in Orland Park, Illinois. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
15303 S 94th Ave Ste 250Orland Park, IL 60462-3825
Phone: (888) 428-7890
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X |
|---|---|
| Counselor | Taxonomy 101Y00000X |
Record details
| NPI number | 1073050985 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 30, 2017 |
| Last updated in NPPES | February 13, 2023 |
| Certification date | February 13, 2023 |
| Mailing address | 15303 S 94th Ave Ste 250, Orland Park, IL 60462-3825 |
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