Provider Demographics
NPI:1659362416
Name:DUGGAN, LINDA JEANNE (LPC NCC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:JEANNE
Last Name:DUGGAN
Suffix:
Gender:F
Credentials:LPC NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9199 OLD NACOGDOCHES TRL
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-7430
Mailing Address - Country:US
Mailing Address - Phone:972-564-0455
Mailing Address - Fax:972-564-4800
Practice Address - Street 1:9199 OLD NACOGDOCHES TRL
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-7430
Practice Address - Country:US
Practice Address - Phone:972-564-0455
Practice Address - Fax:972-564-4800
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11363101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional