Provider Demographics
NPI:1821329053
Name:DUNCAN, GLENDA B (ACSW, LCSW, MAC, CDP)
Entity Type:Individual
Prefix:
First Name:GLENDA
Middle Name:B
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:ACSW, LCSW, MAC, CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 CAMPUS ST
Mailing Address - Street 2:
Mailing Address - City:CURLEW
Mailing Address - State:WA
Mailing Address - Zip Code:99118-9601
Mailing Address - Country:US
Mailing Address - Phone:509-779-0652
Mailing Address - Fax:509-779-0725
Practice Address - Street 1:36000 DARNALL LOOP
Practice Address - Street 2:HEADQUARTERS, CARL R. DARNALL MEDICAL CENTER
Practice Address - City:FORT HOOD
Practice Address - State:TX
Practice Address - Zip Code:76544
Practice Address - Country:US
Practice Address - Phone:254-288-8443
Practice Address - Fax:254-286-7188
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-28
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY18381041C0700X
WACP 00006214101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)