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Search › California › 1041C0700X

Michel Douglas

NPI 1215309349 · on the registry since 2015 · sole proprietor

Practice

Address
711 Jefferson St Ste 203
Fairfield, CA 94533
Phone
(707) 333-4184
Organisation at this address
Kristen M. Boothe A Marriage And Family Corporation
Kristen M. Boothe A Marriage And Family Counseling Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-03-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California