National Provider Identifier
Marcia N Douglas, LCSW R
Marcia N Douglas, LCSW R is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Watkins Glen, NY and a listed phone number of (607) 535-8282.
Profile Overview
- NPI
- 1265474381
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- June 12, 2006
- Last Updated
- July 08, 2007
Practice Location
- 106 S Perry St
- Ste 4
- Watkins Glen, NY 14891-1615
Phone: (607) 535-8282
Mailing Address
- 272 S Lhommedieu St
- Montour Falls, NY 14865-9786
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1265474381
- Entity Type
- Individual
- Last Name
- Douglas
- First Name
- Marcia
- Middle Name
- N
- Credential
- LCSW R
- Mailing Street Address
- 272 S Lhommedieu St
- Mailing City
- Montour Falls
- Mailing State
- NY
- Mailing ZIP Code
- 14865-9786
- Mailing Country
- US
- Practice Street Address
- 106 S Perry St
- Practice Address Line 2
- Ste 4
- Practice City
- Watkins Glen
- Practice State
- NY
- Practice ZIP Code
- 14891-1615
- Practice Country
- US
- Practice Phone
- (607) 535-8282
- Practice Fax
- (607) 535-8284
- Enumeration Date
- June 12, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)
- Other Identifiers
- 07300052112LI (NY)