Doctor Name: | JENNIFER COFFEE DUNCAN |
NPI Number: | 1093863524 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 4688 |
Business Practice Address: | 120 East Trinity Place Decatur, GA - 30030 |
Business Phone Number: | 4043782300 |
Business Fax Number: | 4043782394 |
Mailing Address: | 5614 Vinings Retreat Pass, MABLETON |
State: | GA |
Postal Code: | 30126 |
Phone Number: | 6785926611 |
Fax Number: | 4043782394 |
NPI Enumeration Date: | 01/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 4688 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |