Prof. Robert Edward Douglas II, LMFTLPC
Prof. Robert Edward Douglas II, LMFTLPC is a Marriage and Family Therapist in Fairview, New Jersey. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in New Jersey.
- Years since qualifying
- 4
- Licensed in
- NJ
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
115 Franklin AveFairview, NJ 07022-1009
Phone: (901) 628-1843
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 37PC01157100 (NJ) |
|---|---|
| Marriage & Family Therapist | Taxonomy 106H00000X · Licence 37FI00243000 (NJ) |
Record details
| NPI number | 1831084193 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LMFTLPC |
| Sole proprietor | Yes |
| NPI enumerated | June 9, 2025 |
| Last updated in NPPES | June 24, 2025 |
| Certification date | June 24, 2025 |
Medicare enrollment
| Medicare specialty | MARRIAGE AND FAMILY THERAPIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |