Provider Demographics
NPI:1467901496
Name:DUKE, JAMES (LPCC, LCADCA)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:DUKE
Suffix:
Gender:M
Credentials:LPCC, LCADCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 NEW GLENDALE RD
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-8373
Mailing Address - Country:US
Mailing Address - Phone:270-900-0373
Mailing Address - Fax:
Practice Address - Street 1:725 NEW GLENDALE RD
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-8373
Practice Address - Country:US
Practice Address - Phone:270-900-0373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-03
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY262769101YA0400X
KY243645101YM0800X
KY264409101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health