Individual
DUAINE CARLTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
109 LOU ANN DR, HERRIN, IL 62948-3733
(618) 988-1330
(618) 988-8321
Mailing address
1712 W ADAMS ST, HERRIN, IL 62948-1329
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Enumeration date
03/27/2006
Last updated
07/08/2007
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