Douglas, Elizabeth A

Douglas, Elizabeth A is an individual health care provider with primary practice located at 11660 Round Lake Blvd Nw , Coon Rapids MN 55433-2638. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Douglas, Elizabeth A can be contacted via phone (763) 439-4984.

Contact Information

Primary practice address
11660 Round Lake Blvd Nw Coon Rapids MN 55433-2638
Phone: (763) 439-4984
Fax: (763) 767-0912
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 302188 Minnesota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2409 Minnesota

Profile Details

NPI number 1336439306
LBN Legal business name Douglas, Elizabeth A
Credentials MA, LADC, LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2011
Last updated Oct 23rd, 2023 - about last year

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.

Request for update

Popular Providers