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NPI Code Detail

MEDICARE: DAISY J DUNCAN-LITTLE LPC

MEDICARE: DAISY J DUNCAN-LITTLE LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor3321KS
2101YP2500XProfessional Counselor3371KS

General Provider Information

NPI Number : 1760959159
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAISY J DUNCAN-LITTLE LPC
Provider Business Mailing Address
First Line : 1525 N BUCKNER ST
Second Line :
City : DERBY
State : KS
Zip : 67037-2948
Country : US
Telephone Number : 316-788-6464
Fax Number : 206-299-1262
Provider Business Practice Location Address
First Line : 1525 N BUCKNER ST
Second Line :
City : DERBY
State : KS
Zip : 67037-2948
Country : US
Telephone Number : 316-788-6464
Fax Number : 206-299-1262
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2018
Last Update Date : 07/24/2020

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