Search › Illinois › 1041C0700X
Jerry Douglas, LCSW
NPI 1841394939 · on the registry since 2006
Practice
- Address
- 1770 E Lakeshore Dr
Suite 209
Decatur, IL 62521 - Phone
- (217) 423-6500
- Fax
- (217) 423-6536
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- Psychiatry
- Licence states on file
- NULL, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-02-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois