Provider Demographics
NPI:1114034964
Name:DUNCAN, LORI ANN (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:ANN
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MS
Other - First Name:LORI
Other - Middle Name:ANN
Other - Last Name:CLEMENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:11511 NE 10TH ST. BVU-E300
Mailing Address - Street 2:GROUP HEALTH COOPERATIVE
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004
Mailing Address - Country:US
Mailing Address - Phone:425-502-3030
Mailing Address - Fax:425-502-3052
Practice Address - Street 1:11511 NE 10TH ST. BVU-E300
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004
Practice Address - Country:US
Practice Address - Phone:425-502-3030
Practice Address - Fax:425-502-3052
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00008579101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health