Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FRED DOULTON
Active Sole ProprietorMental Health Counselor · GLEN HEAD, NY
Registration Details
- NPI Number
- 1639754138
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 16, 2021 (5.1485327264568 yrs)
- Last Updated
- Mar 16, 2021
- License
-
011164 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
102 GLEN COVE DRGLEN HEAD, NY, 115451715Browse NY providers · Browse ZIP 11545
- Phone
- 5165515493
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in GLEN HEAD, NY
| Name | Credential | NPI |
|---|---|---|
| LINDA MARIA ROSE | LCSW | 1568558641 |
| MRS. DORITE MALKA-LEHRER | M.S. | 1720226657 |
| ALLISON BEREST | MA | 1548627151 |
| MRS. ANGELA TERESA SIMEONE | LMHC | 1386114585 |
| ALISON DIAZ-PEREZ | — | 1609414432 |
| LISA MOLLICK | LMHC | 1285262840 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.