Provider Demographics
NPI:1730696436
Name:DUNCAN, REBECCA GAYLE (LPCA)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:GAYLE
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 N ELLIS ST
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-4219
Mailing Address - Country:US
Mailing Address - Phone:540-392-5389
Mailing Address - Fax:
Practice Address - Street 1:625 W INNES ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-4166
Practice Address - Country:US
Practice Address - Phone:704-636-0838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-03
Last Update Date:2018-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA13144101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional