| Douglas W Duke Lpc | |
|
1030 Village Dr Watkinsville GA 30677-6004 | |
| (706) 769-1718 | |
| (706) 769-4535 |
| Full Name | Douglas W Duke Lpc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1030 Village Dr, Watkinsville, Georgia |
| Authorized Official Name and Position | Douglas W Duke (PROVIDER/OWNER) |
| Authorized Official Contact | 7067691718 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas W Duke Lpc Po Box 626 Watkinsville GA 30677-0015 Ph: (706) 769-1718 | Douglas W Duke Lpc 1030 Village Dr Watkinsville GA 30677-6004 Ph: (706) 769-1718 |
| NPI Number | 1497987119 |
|---|---|
| Provider Enumeration Date | 08/13/2009 |
| Last Update Date | 08/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497987119 | NPI | - | NPPES |
| LPC002006 | Other | GA | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC002006 (Georgia) | Primary |
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