Provider Demographics
NPI:1033402987
Name:DUQUESNEL, JOSEPH EDGAR (MFT)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:EDGAR
Last Name:DUQUESNEL
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 E MEATS AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92865-3855
Mailing Address - Country:US
Mailing Address - Phone:949-680-9529
Mailing Address - Fax:
Practice Address - Street 1:706 E MEATS AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92865-3855
Practice Address - Country:US
Practice Address - Phone:949-680-9529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-25
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC24762106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist