Douglas W Duke LPC

Organization Active NPI Professional Counselor · Watkinsville, GA

NPI 1497987119 · NPPES record last updated Aug 13, 2009

Key facts

NPI
1497987119
Entity type
Organization (NPI type 2)
Primary specialty
Professional Counselor 101YP2500X
License
LPC002006 (GA)
Legal business name
DOUGLAS W DUKE LPC
Practice address
1030 Village Dr
Watkinsville, GA 30677-6004
Phone
(706) 769-1718
Fax
(706) 769-4535
NPI assigned
Aug 13, 2009
Organization subpart
No

Authorized official

Name
Douglas W Duke, LPC
Title
Provider/Owner
Phone
(706) 769-1718

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YP2500X LPC002006 GA Yes

Addresses

Primary practice location

1030 Village Dr
Watkinsville, GA 30677-6004

Mailing address

PO Box 626
Watkinsville, GA 30677-0015
Phone (706) 769-1718

Other identifiers

IdentifierTypeStateIssuer
LPC002006OtherGASTATE LICENSE NUMBER

Other providers in Watkinsville, GA

All providers in Watkinsville, GA · Professional Counselor in Georgia

Sources for this page

Verify at the official NPI Registry.