Healthcare Provider Details

I. General information

NPI: 1629642285
Provider Name (Legal Business Name): JOSHUA DUNCAN LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2021
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3409 W 47TH ST STE 102
SIOUX FALLS SD
57106-6339
US

IV. Provider business mailing address

3409 W 47TH ST STE 102
SIOUX FALLS SD
57106-6339
US

V. Phone/Fax

Practice location:
  • Phone: 605-593-4075
  • Fax: 605-401-4086
Mailing address:
  • Phone: 605-593-4075
  • Fax: 605-401-4086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number19031813
License Number StateSD
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCMH30737
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: