David C Duncan, CADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Bowling Green, KY
NPI 1720126030 · NPPES record last updated Dec 14, 2017
Key facts
- NPI
- 1720126030
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 163329 (KY)
- Practice address
- 822 Woodway St
Bowling Green, KY 42101-2771 - Phone
- (270) 901-5000
- Fax
- (270) 842-0721
- NPI assigned
- Feb 1, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 163329 | KY | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeskills, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 163329 | KY | Yes |
Addresses
Primary practice location
822 Woodway St
Bowling Green, KY 42101-2771
Mailing address
380 Suwannee Trail St
Bowling Green, KY 42103-7956
Phone (270) 901-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30604011 | Medicaid | KY |
Other providers in Bowling Green, KY
- Glory Amaris Duff
- Robert Dwayne Dukes
- Shereia Christine Dukes
- Steve Duleh
- Alexis Duncan
- Jill K Duncan
- Taylor Duncan
- Traniece Duncan
- Valorie Duncan
- Dungarvin Kentucky, LLC - Bowling Green
All providers in Bowling Green, KY · Addiction (Substance Use Disorder) Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.