Provider Demographics
NPI:1609297571
Name:DUKE, KATHERINE DELUCAS (LPC-I)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:DELUCAS
Last Name:DUKE
Suffix:
Gender:F
Credentials:LPC-I
Other - Prefix:MISS
Other - First Name:KATHERINE
Other - Middle Name:BONNEFIELD
Other - Last Name:DELUCAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1135 GREGG HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29801
Mailing Address - Country:US
Mailing Address - Phone:803-641-7700
Mailing Address - Fax:
Practice Address - Street 1:1135 GREGG HIGHWAY
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801
Practice Address - Country:US
Practice Address - Phone:803-641-7700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-19
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5340101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor