Provider Demographics
NPI:1043493406
Name:DUNCAN, ELAINE ANNE (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:ELAINE
Middle Name:ANNE
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16541 REDMOND WAY
Mailing Address - Street 2:#127C
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-4492
Mailing Address - Country:US
Mailing Address - Phone:425-883-4939
Mailing Address - Fax:425-883-0249
Practice Address - Street 1:16307 NE 83RD ST
Practice Address - Street 2:SUITE 205A
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-1501
Practice Address - Country:US
Practice Address - Phone:425-883-4939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-07
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00011146101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health