Provider Demographics
NPI:1710516315
Name:DUFFY, LAUNA (LCPC)
Entity Type:Individual
Prefix:DR
First Name:LAUNA
Middle Name:
Last Name:DUFFY
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 HOMEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:POCOMOKE CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21851-9532
Mailing Address - Country:US
Mailing Address - Phone:443-513-1368
Mailing Address - Fax:
Practice Address - Street 1:607 HOMEWOOD DR
Practice Address - Street 2:
Practice Address - City:POCOMOKE CITY
Practice Address - State:MD
Practice Address - Zip Code:21851-9532
Practice Address - Country:US
Practice Address - Phone:443-513-1368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-06
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP10345101YM0800X
MDLC1446101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDLC12264OtherLCPC LICENSE