Provider Demographics
NPI:1336781350
Name:DUNCAN, DANITA (LPC)
Entity Type:Individual
Prefix:
First Name:DANITA
Middle Name:
Last Name:DUNCAN
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:PO BOX 1401
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:TX
Mailing Address - Zip Code:78055-1401
Mailing Address - Country:US
Mailing Address - Phone:972-268-2756
Mailing Address - Fax:
Practice Address - Street 1:955 WATER ST
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-3508
Practice Address - Country:US
Practice Address - Phone:830-257-6553
Practice Address - Fax:830-896-4448
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-10
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX82202101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional