JACLYN K DOUGLASS (NPI# 1942456694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942456694 |
Entity Type | Individual |
Full Name | JACLYN K DOUGLASS |
Credential | M.ED. |
Practice Address |
1240 S Geronimo Rd Apache Junction AZ 85219-9830 |
Practice Telephone | 4804956946 |
Mailing Telephone | 4804956946 |
Enumeration Date | 2008-08-13 |
Last Update Date | 2008-08-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306308432 | Jaclyn Douglass | Pharmacist | 8414 Naab Rd, Indianapolis, IN 46260-1972 | 2019-04-06 |
Street Address |
1240 S GERONIMO RD |
City | APACHE JUNCTION |
State | AZ |
Zip Code | 85219-9830 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659508844 | John Gutierrez | Social Worker | 477 E Broadway Road, Apache Junction, AZ 85219 | 2009-06-16 |
1659533966 | Continuum Wellness Clinic | Clinic/Center | 1075 E Idaho Road, #210, Apache Junction, AZ 85219 | 2008-06-27 |
1932267846 | Jennifer Siozos | Counselor | 477 E. Broadway Road, Apache Junction, AZ 85219 | 2006-12-04 |
1285715458 | Brian M Bouck | Physical Therapist | 1075 S Idaho, #210, Apache Junction, AZ 85219 | 2006-10-17 |
1548429996 | Evaune Gale Winsor | Contractor | 1075 S Idaho Rd, Suite 106a, Apache Junction, AZ 85219 | 2008-06-02 |
1881778322 | Elwynn C Caffall | Dentist | 110 S Idaho Rd, #260, Apache Jct, AZ 85219 | 2006-10-24 |
1548419245 | Joyce Maurer Lindquist | Registered Nurse | 1785 N Idaho Rd, Apache Junction, AZ 85219-1716 | 2008-09-17 |
1790803849 | Apache Junction Unified School District | Speech-Language Pathologist | 1755 N Idaho Rd, Apache Junction, AZ 85219-1716 | 2007-03-27 |
1619197969 | Heather Ann Lundquest | Registered Nurse | 1755 N Idaho Rd, Apache Junction, AZ 85219-1716 | 2007-04-27 |
1740302728 | Four Peaks Elementary School | Licensed Practical Nurse | 1755 N Idaho Rd, Apache Junction, AZ 85219-1716 | 2007-04-03 |
Find all providers in zip 85219 |
Taxonomy Code | 101YS0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215595707 | Danielle Payne | Counselor | 4145 E Montecito St, Tucson, AZ 85711-4734 | 2019-05-30 |
1780135533 | Eva Tomashefski | Counselor | 11011 N 92nd St, #1121, Scottsdale, AZ 85260-6137 | 2016-10-17 |
1275905754 | A & G Child Care Center LLC | Counselor | 537 E Racine Pl, Casa Grande, AZ 85122-1611 | 2015-10-23 |
1235547654 | Brian Prince | Counselor | 837 W Colter St, Apt. 51, Phoenix, AZ 85013-2269 | 2014-07-29 |
1750703682 | Amber Pedersen | Counselor | 1312 E Hale St, Mesa, AZ 85203-3818 | 2014-01-12 |
1023399227 | Sarah Joy Steele | Counselor | 7275 W Vineyard Rd, Laveen, AZ 85339-9805 | 2011-08-31 |
1255639902 | Sylvia Nockideneh-tee | Counselor | East Fir Street, Tuba City Junior High, Tuba City, AZ 86045 | 2011-03-04 |
1851600597 | Denisse Leon-uribe | Counselor | 3689 W Pageant Pl, Yuma, AZ 85364-3262 | 2010-09-29 |
1457689259 | Perla Nora Gonzalez | Counselor | 5832 W Ivanhoe St, Chandler, AZ 85226-1846 | 2009-12-07 |
1649508441 | Jennifer Palomares | Counselor | 8706 W Morten Ave, Glendale, AZ 85305-3945 | 2009-12-07 |
Find all providers with the same taxonomy |
City | APACHE JUNCTION |
Zip Code | 85219 |
Please comment or provide details below to improve the information on JACLYN K DOUGLASS.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.