Tyshaye Douglas
Tyshaye Douglas is a Case Manager/Care Coordinator in San Diego, California. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
1202 Morena Blvd Ste 100San Diego, CA 92110-3842
Phone: (619) 275-0822
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1619561032 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 25, 2021 |
| Last updated in NPPES | March 3, 2021 |
| Certification date | March 3, 2021 |
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