Provider Demographics
NPI:1235595901
Name:DUGAN, TERRI (LPCC)
Entity Type:Individual
Prefix:MS
First Name:TERRI
Middle Name:
Last Name:DUGAN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:790 NORTH DIXIE
Mailing Address - Street 2:SUITE B100
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701
Mailing Address - Country:US
Mailing Address - Phone:270-769-8333
Mailing Address - Fax:270-900-0576
Practice Address - Street 1:790 N DIXIE AVE STE B100
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-2488
Practice Address - Country:US
Practice Address - Phone:270-769-8333
Practice Address - Fax:270-900-0576
Is Sole Proprietor?:No
Enumeration Date:2016-01-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY168696101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional