| Anthony Imagie-douglas, LICDC | |
|
1875 Stoneridge Dr, Circleville, OH 43113-8956 | |
| (740) 500-1391 | |
| Not Available |
| Full Name | Anthony Imagie-douglas |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1875 Stoneridge Dr, Circleville, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578146635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.111022 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Imagie-douglas, LICDC 2065 Stoneridge Dr, Circleville, OH 43113-8956 Ph: (740) 500-1391 | Anthony Imagie-douglas, LICDC 1875 Stoneridge Dr, Circleville, OH 43113-8956 Ph: (740) 500-1391 |
Judson Scott Karshner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 327 E Mill St, Circleville, OH 43113 Phone: 740-500-1402 | |
Sheena Artrip, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Highland Ave, Circleville, OH 43113 Phone: 740-477-1745 | |
Sujata Baral, Counselor Medicare: Not Enrolled in Medicare Practice Location: 145 Morris Rd, Circleville, OH 43113 Phone: 740-474-8874 | |
Cassandra Nicole Patterson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 327 E Mill St, Circleville, OH 43113 Phone: 740-500-1402 | |
Matthew David Coy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 145 Morris Rd, Circleville, OH 43113 Phone: 740-474-8874 | |
Caitlin Huston, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2065 Stoneridge Dr, Circleville, OH 43113 Phone: 740-500-1391 | |
Mallorie Dennelle Garrett, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2065 Stoneridge Dr, Circleville, OH 43113 Phone: 740-500-1391 |