Douglas, Carissa Marie
Douglas, Carissa Marie is an sole proprietor health care provider with primary practice located at 41197 Golden Gate Cir Ste 206 , Murrieta CA 92562-6999. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Douglas, Carissa Marie can be contacted via phone (951) 394-3227.Contact Information
Primary practice address
41197 Golden Gate Cir Ste 206
Murrieta CA 92562-6999
Phone: (951) 394-3227
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 32327 | California |
Profile Details
| NPI number | 1508052986 |
|---|---|
| LBN Legal business name | Douglas, Carissa Marie |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 19th, 2007 |
| Last updated | Feb 5th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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