Provider Demographics
NPI:1104070473
Name:DUCKWALL, ALANA SUE
Entity type:Individual
Prefix:
First Name:ALANA
Middle Name:SUE
Last Name:DUCKWALL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 W CENTER ST
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:KY
Mailing Address - Zip Code:42347-1436
Mailing Address - Country:US
Mailing Address - Phone:270-504-0240
Mailing Address - Fax:
Practice Address - Street 1:111 W CENTER ST
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:KY
Practice Address - Zip Code:42347-1436
Practice Address - Country:US
Practice Address - Phone:270-504-0240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-12
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial Worker