Provider Demographics
NPI:1760959159
Name:DUNCAN-LITTLE, DAISY J (LPC)
Entity Type:Individual
Prefix:
First Name:DAISY
Middle Name:J
Last Name:DUNCAN-LITTLE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 N BUCKNER ST
Mailing Address - Street 2:
Mailing Address - City:DERBY
Mailing Address - State:KS
Mailing Address - Zip Code:67037-2948
Mailing Address - Country:US
Mailing Address - Phone:316-788-6464
Mailing Address - Fax:206-299-1262
Practice Address - Street 1:1525 N BUCKNER ST
Practice Address - Street 2:
Practice Address - City:DERBY
Practice Address - State:KS
Practice Address - Zip Code:67037-2948
Practice Address - Country:US
Practice Address - Phone:316-788-6464
Practice Address - Fax:206-299-1262
Is Sole Proprietor?:No
Enumeration Date:2018-10-24
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS3321101YP2500X
KS3371101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional