Provider Demographics
NPI:1356805360
Name:DUNCAN, JANICE MARIE (LPC)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:MARIE
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MISS
Other - First Name:JANICE
Other - Middle Name:MARIE
Other - Last Name:DUNCAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:390 STOVALL STREET SE UNIT 2418
Mailing Address - Street 2:390 STOVALL STREET SE UNIT 2418
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30316
Mailing Address - Country:US
Mailing Address - Phone:678-472-4741
Mailing Address - Fax:
Practice Address - Street 1:390 STOVALL ST SE UNIT 2418
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30316-1540
Practice Address - Country:US
Practice Address - Phone:678-472-4741
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-23
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC010689101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health