Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Raymond Edward Douglas, SUDCCIII

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1407317704

Mr. Raymond Edward Douglas, SUDCCIII is an Addiction (Substance Use Disorder) Counselor in Fremont, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
Specialties on file
3

Practice location Address checks out

37437 Glenmoor Dr
Fremont, CA 94536-5731
Phone: (510) 713-3200
Fax: (510) 713-0684
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 19319 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence R1326931018 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence A058430920 (CA)

Record details

NPI number1407317704
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDCCIII
Sole proprietorNo
NPI enumeratedMarch 28, 2019
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026

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