Provider Demographics
NPI:1053483081
Name:DUNCAN, DOUGLAS JON (LPC)
Entity Type:Individual
Prefix:MR
First Name:DOUGLAS
Middle Name:JON
Last Name:DUNCAN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2606 CHESTERFIELD RD
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-0902
Mailing Address - Country:US
Mailing Address - Phone:214-607-1065
Mailing Address - Fax:
Practice Address - Street 1:6220 GASTON AVE
Practice Address - Street 2:SUITE 501
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75214-4329
Practice Address - Country:US
Practice Address - Phone:972-822-3687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19573101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional