Healthcare Provider Details

I. General information

NPI: 1255080164
Provider Name (Legal Business Name): JOYCE RONDI DUVAL LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2022
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 NW JOHNS LN
PENDLETON OR
97801-1459
US

IV. Provider business mailing address

304 NW JOHNS LN
PENDLETON OR
97801-1459
US

V. Phone/Fax

Practice location:
  • Phone: 541-310-9096
  • Fax:
Mailing address:
  • Phone: 541-310-9096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberC4793
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number61457913
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: