Douglas, Jacqueline Kathleen

Douglas, Jacqueline Kathleen is an sole proprietor health care provider with primary practice located at 2152 Renard Ct , Annapolis MD 21401-6756. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Exercise & Sports. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Douglas, Jacqueline Kathleen can be contacted via phone (410) 980-2014.

Contact Information

Primary practice address
2152 Renard Ct Annapolis MD 21401-6756
Phone: (410) 980-2014
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 07058 Maryland
Behavioral Health & Social Service Providers / Exercise & Sports 103TE1100X 07058 Maryland

Profile Details

NPI number 1275398679
LBN Legal business name Douglas, Jacqueline Kathleen
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2024
Last updated Feb 15th, 2024 - about 10 months 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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