Provider Demographics
NPI:1073763272
Name:DUNCAN, LAURA MARTHA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:MARTHA
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 1:2935 NW TAFT AVE
Mailing Address - Street 2:PO BOX 2164
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330
Mailing Address - Country:US
Mailing Address - Phone:301-863-0409
Mailing Address - Fax:301-863-3496
Practice Address - Street 1:2935 NW TAFT AVE
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330
Practice Address - Country:US
Practice Address - Phone:541-740-9700
Practice Address - Fax:301-609-7284
Is Sole Proprietor?:No
Enumeration Date:2008-09-24
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD58956180Medicaid
MD58956180Medicaid