Provider Demographics
NPI:1841449857
Name:GARLAND, DOUGLAS MILTON SR (BS, MDIV, CAC, CODC)
Entity type:Individual
Prefix:MR
First Name:DOUGLAS
Middle Name:MILTON
Last Name:GARLAND
Suffix:SR
Gender:M
Credentials:BS, MDIV, CAC, CODC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:821 HOWARD RD SE RM 100
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-5805
Mailing Address - Country:US
Mailing Address - Phone:202-698-2460
Mailing Address - Fax:202-698-2467
Practice Address - Street 1:821 HOWARD RD SE RM 100
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-5805
Practice Address - Country:US
Practice Address - Phone:202-698-2460
Practice Address - Fax:202-698-2467
Is Sole Proprietor?:No
Enumeration Date:2008-09-15
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCADD14129101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)