Provider Demographics
NPI:1033667431
Name:DUNCAN, KAMELA (LPC)
Entity Type:Individual
Prefix:
First Name:KAMELA
Middle Name:
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 W VALLEY ST
Mailing Address - Street 2:SUITE 108
Mailing Address - City:HERNANDO
Mailing Address - State:MS
Mailing Address - Zip Code:38632-1753
Mailing Address - Country:US
Mailing Address - Phone:901-488-1107
Mailing Address - Fax:662-788-1585
Practice Address - Street 1:324 W VALLEY ST
Practice Address - Street 2:SUITE 108
Practice Address - City:HERNANDO
Practice Address - State:MS
Practice Address - Zip Code:38632-1753
Practice Address - Country:US
Practice Address - Phone:901-488-1107
Practice Address - Fax:662-788-1585
Is Sole Proprietor?:No
Enumeration Date:2016-09-14
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS2042101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health