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

Nicole Lee Douglas, ASSOCIATEMFT

Individual provider Mental Health Counselor · NPI 1154956829

Nicole Lee Douglas, ASSOCIATEMFT is a Mental Health Counselor in Santa Rosa, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

3434 Mendocino Ave # A
Santa Rosa, CA 95403-2274
Phone: (707) 284-1978
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 112167 (CA)

Record details

NPI number1154956829
Entity typeIndividual (Type 1)
GenderFemale
Credentials ASSOCIATEMFT
Sole proprietorNo
NPI enumeratedMarch 3, 2020
Last updated in NPPESMarch 3, 2020
Certification dateMarch 3, 2020

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