Individual
LORETTA A DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1147 INDEPENDENCE BLVD, VA BEACH, VA 23455
(757) 460-1207
(757) 460-2136
Mailing address
1147 INDEPENDENCE BLVD, VA BEACH, VA 23455
(757) 460-1207
(757) 460-2136
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
541603296
ORGANIZATION TAX ID
VA
Enumeration date
04/23/2010
Last updated
04/23/2010
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