Provider Demographics
NPI:1730329236
Name:DUEKER, CHRISTOPHER ABBOTT (LCPC)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:ABBOTT
Last Name:DUEKER
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1082 CARDINAL RD
Mailing Address - Street 2:
Mailing Address - City:CARBONDALE
Mailing Address - State:IL
Mailing Address - Zip Code:62901-0735
Mailing Address - Country:US
Mailing Address - Phone:618-985-8908
Mailing Address - Fax:
Practice Address - Street 1:1082 CARDINAL RD
Practice Address - Street 2:
Practice Address - City:CARBONDALE
Practice Address - State:IL
Practice Address - Zip Code:62901-0735
Practice Address - Country:US
Practice Address - Phone:618-985-8908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-24
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180-005614101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health