Provider Demographics
NPI:1497539027
Name:DUKURAY, FATU
Entity Type:Individual
Prefix:
First Name:FATU
Middle Name:
Last Name:DUKURAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 MORNING STILL CT
Mailing Address - Street 2:
Mailing Address - City:ROLESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27571-9599
Mailing Address - Country:US
Mailing Address - Phone:919-634-5940
Mailing Address - Fax:
Practice Address - Street 1:910 MORNING STILL CT
Practice Address - Street 2:
Practice Address - City:ROLESVILLE
Practice Address - State:NC
Practice Address - Zip Code:27571-9599
Practice Address - Country:US
Practice Address - Phone:919-634-5940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-23
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor