Provider Demographics
NPI:1376611285
Name:DUNCAN, CATHERINE JEAN (BSW, MHRS)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:JEAN
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:BSW, MHRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 KENBROOK CIR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95111-3272
Mailing Address - Country:US
Mailing Address - Phone:408-391-5259
Mailing Address - Fax:
Practice Address - Street 1:104 KENBROOK CIR
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95111-3272
Practice Address - Country:US
Practice Address - Phone:408-391-5259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health