Cory Tyrone Douglas
Cory Tyrone Douglas is an Addiction (Substance Use Disorder) Counselor in Watsontown, Pennsylvania. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
759 Susquehanna TrlWatsontown, PA 17777-8109
Phone: (570) 538-1240
Fax: (570) 538-1257
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1952911695 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 7, 2020 |
| Last updated in NPPES | August 7, 2020 |
| Certification date | August 7, 2020 |
| Mailing address | 759 Susquehanna Trl, Watsontown, PA 17777-8109 |
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Regina Amoss, BA
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Karla Benfer
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Kayla Berge, BA
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Emily Kline
759 Susquehanna Trl, Watsontown, PA 17777-8109 · (570) 538-1240
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Mrs. Misty Dawn Little, LSW
759 Susquehanna Trl, Watsontown, PA 17777-8109 · (570) 538-1240
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Sarah C Logue, BACADC
759 Susquehanna Trl, Watsontown, PA 17777-8109 · (570) 428-9504