Provider Demographics
NPI:1386700508
Name:MORRISON, DOUGLAS A (MS, MDIV, DMIN)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:A
Last Name:MORRISON
Suffix:
Gender:M
Credentials:MS, MDIV, DMIN
Other - Prefix:DR
Other - First Name:DOUGLAS
Other - Middle Name:A
Other - Last Name:MORRISON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, MDIV, DMIN
Mailing Address - Street 1:24 COURTHOUSE SQ
Mailing Address - Street 2:805
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-2340
Mailing Address - Country:US
Mailing Address - Phone:301-838-5522
Mailing Address - Fax:301-545-0091
Practice Address - Street 1:24 COURTHOUSE SQ
Practice Address - Street 2:805
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-2340
Practice Address - Country:US
Practice Address - Phone:301-838-5522
Practice Address - Fax:301-545-0091
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC66101YP2500X
DCLC3007061041C0700X
MDLO0454101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health