Provider Demographics
NPI:1154090959
Name:DUKES, BRIANNA DANETTE (LPC)
Entity Type:Individual
Prefix:MS
First Name:BRIANNA
Middle Name:DANETTE
Last Name:DUKES
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 1:1623 WILLOW ST
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-3067
Mailing Address - Country:US
Mailing Address - Phone:267-407-2252
Mailing Address - Fax:610-524-8705
Practice Address - Street 1:1623 WILLOW ST
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-3067
Practice Address - Country:US
Practice Address - Phone:267-407-2252
Practice Address - Fax:610-524-8705
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-07
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC012837101Y00000X, 101YM0800X, 106S00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician