Provider Demographics
NPI:1538289145
Name:DUNCAN, GLENN (LPC, LCADC, CCS, ACS)
Entity Type:Individual
Prefix:MR
First Name:GLENN
Middle Name:
Last Name:DUNCAN
Suffix:
Gender:M
Credentials:LPC, LCADC, CCS, ACS
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 87
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-0087
Mailing Address - Country:US
Mailing Address - Phone:732-544-2189
Mailing Address - Fax:732-935-7232
Practice Address - Street 1:8 MAIN ST STE 7
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-1468
Practice Address - Country:US
Practice Address - Phone:908-788-1900
Practice Address - Fax:908-788-3836
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00120700101YA0400X
NJ37PC00095000101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health