Doctor Name: | AMBER HEATHER DUFF |
NPI Number: | 1083048904 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PLPC, CADC |
License Number: | 2012040654 |
Business Practice Address: | 585 Jester Republic, MO - 657382709 |
Business Phone Number: | 4172992070 |
Business Fax Number: | |
Mailing Address: | 585 Jester, REPUBLIC |
State: | MO |
Postal Code: | 657382709 |
Phone Number: | 4172992070 |
Fax Number: | |
NPI Enumeration Date: | 08/27/2013 |
NPI Last Update Date: | 08/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 2012040654 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |