Male or Other

Ryan R. Douglas LICSW

Clinical Social Worker in Bellingham, WA(View on Map)

Full Name

Ryan R Douglas LICSW

NPI Number

1316580038

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/25/2019

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

Washington

License Number

LW60989804

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 229076
2602 ST CLAIR PL

City

Bellingham
Bellingham

State

WA
WA

Postal Code

98229-0903
98226-6131

Country

US
US

Telephone Number

(360) 201-8218
(360) 201-8218

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/31/2020

Provider Address

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