Doctor Name: | JACQUES BERTRAND DUCE |
NPI Number: | 1780958512 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LADC |
License Number: | 303260 |
Business Practice Address: | 1315 Penn Ave N Minneapolis, MN - 554113047 |
Business Phone Number: | 6127679152 |
Business Fax Number: | |
Mailing Address: | 14277 Natchez Ave, SAVAGE |
State: | MN |
Postal Code: | 553782726 |
Phone Number: | 6128077785 |
Fax Number: | |
NPI Enumeration Date: | 02/24/2012 |
NPI Last Update Date: | 02/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 303260 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |