Provider Demographics
NPI:1043648454
Name:HALBUR, DUANE ANTHONY JR (PHD, NCC, LMHC, LPC)
Entity Type:Individual
Prefix:DR
First Name:DUANE
Middle Name:ANTHONY
Last Name:HALBUR
Suffix:JR
Gender:M
Credentials:PHD, NCC, LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2420 SALEM CT
Mailing Address - Street 2:
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-3138
Mailing Address - Country:US
Mailing Address - Phone:706-726-9593
Mailing Address - Fax:
Practice Address - Street 1:2420 SALEM CT
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722
Practice Address - Country:US
Practice Address - Phone:706-726-9593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-22
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
IL180.0142101YP2500X
IA00742101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional