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KENDRA DOUGLAS
NPI 1891165056
Counselor - Addiction (Substance Use Disorder) in Lemon Grove, CA

Active since September 30, 2015
2049 SKYLINE DR, LEMON GROVE, CA 91945(619) 465-7303 Get Directions Write a Review

NPPES record last updated: September 30, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kendra Douglas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENDRA DOUGLAS (NPI 1891165056) is an individual addiction (substance use disorder) provider in Lemon Grove, California and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1891165056
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKENDRA DOUGLAS
Location Address2049 SKYLINE DRLemon Grove, CA 91945-4221
Mailing Address2049 Skyline DrLemon Grove, CA 91945-4221 · (619) 465-7303
Phone(619) 465-7303
Sole ProprietorYes
Enumeration DateSeptember 30, 2015
✔ NPI 1891165056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
2049 SKYLINE DR, Lemon Grove, CA 91945
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVEN FREMLAND
Counselor (Addiction (Substance Use Disorder))
2049 SKYLINE DR
LEMON GROVE, CA 91945
San Diego County (619) 465-7303
CAROLINE JANE LONG
Counselor (Addiction (Substance Use Disorder))
2049 SKYLINE DR
LEMON GROVE, CA 91945
San Diego County (619) 465-7303
SANDRA DENISE DOUGLAS
Counselor (Addiction (Substance Use Disorder))
2049 SKYLINE DR
LEMON GROVE, CA 91945
San Diego County (619) 465-7303
EDDY FUENTES JR.
Counselor (Addiction (Substance Use Disorder))
2049 SKYLINE DR
LEMON GROVE, CA 91945
San Diego County (619) 442-0277
MR. MICHEAL LAWRENCE TARVER
Counselor (Mental Health)
2049 SKYLINE DR
LEMON GROVE, CA 91945
San Diego County (619) 456-7303
JONATHAN DETRANT CMPSS
Peer Specialist
2049 SKYLINE DR
LEMON GROVE, CA 91945
San Diego County (619) 442-0277
DAISY DOYLE
Case Manager/Care Coordinator
2049 SKYLINE DR
LEMON GROVE, CA 91945
San Diego County (619) 465-7303
CASSIE DOVE LMFT
Marriage & Family Therapist
2049 SKYLINE DR
LEMON GROVE, CA 91945
San Diego County (619) 465-7303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kendra Douglas's NPI number?

The NPI number for Kendra Douglas is 1891165056. It was assigned to this individual provider in the NPPES registry on September 30, 2015.

Where is Kendra Douglas located?

Kendra Douglas practices at 2049 Skyline Dr, Lemon Grove, CA 91945. The listed phone number is (619) 465-7303.

What is Kendra Douglas's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kendra Douglas was last updated on September 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.