Provider Demographics
NPI:1275965717
Name:DUNCAN, ALISON KAY (EDS, LPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:ALISON
Middle Name:KAY
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:EDS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1986
Mailing Address - Street 2:
Mailing Address - City:SOUTHAVEN
Mailing Address - State:MS
Mailing Address - Zip Code:38671-0023
Mailing Address - Country:US
Mailing Address - Phone:662-726-2476
Mailing Address - Fax:662-349-3988
Practice Address - Street 1:7075 GOLDEN OAKS LOOP W
Practice Address - Street 2:
Practice Address - City:SOUTHAVEN
Practice Address - State:MS
Practice Address - Zip Code:38671-9010
Practice Address - Country:US
Practice Address - Phone:662-672-2476
Practice Address - Fax:662-349-3988
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-07
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1533101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional