| Nicole Douglas Psychology And Wellness, Pllc | |
|
3412 S Illinois Ave Carbondale IL 62903-8362 | |
| (618) 506-0107 | |
| (618) 457-8844 |
| Full Name | Nicole Douglas Psychology And Wellness, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3412 S Illinois Ave, Carbondale, Illinois |
| Authorized Official Name and Position | Nicole Douglas (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3154475432 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Douglas Psychology And Wellness, Pllc 202 Excalibur Dr Carterville IL 62918-3602 Ph: (315) 447-5432 | Nicole Douglas Psychology And Wellness, Pllc 3412 S Illinois Ave Carbondale IL 62903-8362 Ph: (618) 506-0107 |
| NPI Number | 1245181379 |
|---|---|
| Provider Enumeration Date | 02/05/2026 |
| Last Update Date | 02/05/2026 |
| Certification Date | 02/05/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245181379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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