NPI 1033696307

Douglas William Barge

Practitioner Mental Health Counselor Melrose Park, IL

Practice location

Address: 1414 Main St, Melrose Park, IL 60160-3902
Phone: (708) 786-8546

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

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Registry record

NPI: 1033696307
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jul 2018
Record last updated: 19 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.