KOLETTA DOUGLAS, B.S.

Counselor

Active Individual
NPI: 1861584914

Practice Address

10710 OLD HIGHWAY 64
Bolivar, TN 38008

Phone: (731) 658-6113

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1861584914 is the National Provider Identifier for KOLETTA DOUGLAS, B.S., a Counselor provider located in Bolivar, TN. This NPI was enumerated on September 28, 2006.
KOLETTA DOUGLAS, B.S. practices at 10710 OLD HIGHWAY 64, Bolivar, TN 38008.

Quick Facts

NPI
1861584914
Type
Individual
Enumerated
Sep 28, 2006
Last Updated
Jul 9, 2007

Nearby Providers