Provider Demographics
NPI:1548257272
Name:DUNCAN, SUSAN GAINES (LPC)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:GAINES
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:SUSAN
Other - Middle Name:
Other - Last Name:GAINES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPC
Mailing Address - Street 1:7440 N ORACLE RD BLDG 5
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-6385
Mailing Address - Country:US
Mailing Address - Phone:520-971-3346
Mailing Address - Fax:520-797-1491
Practice Address - Street 1:7440 N ORACLE RD BLDG 5
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-6385
Practice Address - Country:US
Practice Address - Phone:520-971-3346
Practice Address - Fax:520-797-1491
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-27
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC2474101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional