Provider Demographics
NPI:1619001716
Name:DUKE, HOLLY L (MS, LPC)
Entity Type:Individual
Prefix:MS
First Name:HOLLY
Middle Name:L
Last Name:DUKE
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 LAFAYETTE DR
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-9344
Mailing Address - Country:US
Mailing Address - Phone:919-260-1104
Mailing Address - Fax:919-684-4999
Practice Address - Street 1:118 LAFAYETTE DR
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-9344
Practice Address - Country:US
Practice Address - Phone:919-260-1104
Practice Address - Fax:919-684-4999
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4655101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor