| Cory Tyrone Douglas, | |
|
759 Susquehanna Trl, Watsontown, PA 17777-8109 | |
| (570) 538-1240 | |
| (570) 538-1257 |
| Full Name | Cory Tyrone Douglas |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 759 Susquehanna Trl, Watsontown, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952911695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Cory Tyrone Douglas, 759 Susquehanna Trl, Watsontown, PA 17777-8109 Ph: (570) 538-1240 | Cory Tyrone Douglas, 759 Susquehanna Trl, Watsontown, PA 17777-8109 Ph: (570) 538-1240 |
Debra Kay Showers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 759 Susquehanna Trl, Watsontown, PA 17777 Phone: 570-538-1240 Fax: 570-538-1257 | |
Regina Amoss, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 759 Susquehanna Trl, Watsontown, PA 17777 Phone: 570-985-5012 | |
Santina Sacavage, Counselor Medicare: Not Enrolled in Medicare Practice Location: 759 Susquehanna Trl, Watsontown, PA 17777 Phone: 570-428-9504 | |
Mrs. Misty Dawn Little, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 759 Susquehanna Trl, Watsontown, PA 17777 Phone: 570-538-1240 | |
Ms. Corrine Emily Zerbe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 759 Susquehanna Trl, Watsontown, PA 17777 Phone: 570-538-1240 | |
Anthony Broch Irvine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 759 Susquehanna Trl, Watsontown, PA 17777 Phone: 157-053-8124 | |
Jacqueline Schultz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 759 Susquehanna Trl, Watsontown, PA 17777 Phone: 570-538-1240 |