Provider Demographics
NPI:1629300694
Name:COUCH, DUANE E (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DUANE
Middle Name:E
Last Name:COUCH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1820 JEFFERSON AVE
Mailing Address - Street 2:APT. 2
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-5666
Mailing Address - Country:US
Mailing Address - Phone:504-899-8908
Mailing Address - Fax:
Practice Address - Street 1:1820 JEFFERSON AVE
Practice Address - Street 2:APT. 2
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-5666
Practice Address - Country:US
Practice Address - Phone:504-899-8908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-02
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA24731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical