Deborah Corinne Douglas, MS
Individual provider Active NPI Counselor · Johnstown, CO
NPI 1366874679 · NPPES record last updated Aug 8, 2013
Key facts
- NPI
- 1366874679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 1716 Green Wing Dr
Johnstown, CO 80534-9257 - Phone
- (970) 405-0901
- NPI assigned
- Aug 8, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
1716 Green Wing Dr
Johnstown, CO 80534-9257
Mailing address
1716 Green Wing Dr
Johnstown, CO 80534-9257
Phone (970) 405-0901
Other providers in Johnstown, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.