Organization
DOUGLAS W DUKE LPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS W DUKE LPC (PROVIDER/OWNER)
(706) 769-1718
Entity
Organization
Contact information
Practice address
1030 VILLAGE DR, WATKINSVILLE, GA 30677-6004
(706) 769-1718
(706) 769-4535
Mailing address
PO BOX 626, WATKINSVILLE, GA 30677-0015
(706) 769-1718
(706) 769-4535
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC002006
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC002006
STATE LICENSE NUMBER
GA
Enumeration date
08/13/2009
Last updated
08/13/2009
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