| Doctor Name: | MISS DUANE HALBUR |
| NPI Number: | 1043648454 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD, LPC |
| License Number: | 006873 |
| Business Practice Address: | 1099 Hampstead Pl Martinez, GA - 309076210 |
| Business Phone Number: | 7067269593 |
| Business Fax Number: | 7066674490 |
| Mailing Address: | 1099 Hampstead Pl, MARTINEZ |
| State: | GA |
| Postal Code: | 309076210 |
| Phone Number: | 7067269593 |
| Fax Number: | 7066674490 |
| NPI Enumeration Date: | 10/22/2013 |
| NPI Last Update Date: | 10/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 006873 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |