Provider Demographics
NPI:1205124203
Name:DUERSON, LAUREN (MED, LPCC, LCMHC)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:DUERSON
Suffix:
Gender:F
Credentials:MED, LPCC, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 E UNION ST # A141
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-3469
Mailing Address - Country:US
Mailing Address - Phone:310-626-0201
Mailing Address - Fax:
Practice Address - Street 1:305 E UNION ST # A141
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3469
Practice Address - Country:US
Practice Address - Phone:310-626-0201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-12
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPCCI1358101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional