| Doctor Name: | MR. DAN R DUVAL |
| NPI Number: | 1790836427 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA LCMHC |
| License Number: | 0680000280 |
| Business Practice Address: | 12 Lower Main St Johnson, VT - 05656 |
| Business Phone Number: | 8027303921 |
| Business Fax Number: | |
| Mailing Address: | 497 Irish Settlement Rd, UNDERHILL |
| State: | VT |
| Postal Code: | 054899777 |
| Phone Number: | 8028994365 |
| Fax Number: | |
| NPI Enumeration Date: | 01/16/2007 |
| NPI Last Update Date: | 09/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 0680000280 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |