Provider Demographics
NPI:1831229582
Name:DOUCE, THOMAS L (LPCC)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:L
Last Name:DOUCE
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 FRANK AVE NW
Mailing Address - Street 2:INTERFAITH CAMPUS MINISTRY INC
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-7548
Mailing Address - Country:US
Mailing Address - Phone:330-499-9635
Mailing Address - Fax:330-244-3283
Practice Address - Street 1:6000 FRANK AVE NW
Practice Address - Street 2:INTERFAITH CAMPUS MINISTRY INC
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-7548
Practice Address - Country:US
Practice Address - Phone:330-499-9635
Practice Address - Fax:330-244-3283
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE1140101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional