Healthcare Provider Details

I. General information

NPI: 1205123437
Provider Name (Legal Business Name): DR. KRYSTAL D DUNCAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2011
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1572 N UNIVERSITY ST
REDLANDS CA
92374-2652
US

IV. Provider business mailing address

17800 US HIGHWAY 18
APPLE VALLEY CA
92307-1221
US

V. Phone/Fax

Practice location:
  • Phone: 951-201-6742
  • Fax:
Mailing address:
  • Phone: 760-242-6336
  • Fax: 760-242-5363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number548
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: