Provider Demographics
NPI:1720678642
Name:MCDOUGALL, FRANK HAROLD
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:HAROLD
Last Name:MCDOUGALL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:696 OXBOW DR
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29579-5154
Mailing Address - Country:US
Mailing Address - Phone:843-685-9772
Mailing Address - Fax:
Practice Address - Street 1:6215 HIGHWAY 707
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29588-7362
Practice Address - Country:US
Practice Address - Phone:843-273-0077
Practice Address - Fax:843-273-0075
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-25
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional