Provider Demographics
NPI:1104594746
Name:DUKES, JAERON-RAE (LPC)
Entity type:Individual
Prefix:
First Name:JAERON-RAE
Middle Name:
Last Name:DUKES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2210 BARTON AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23222-4442
Mailing Address - Country:US
Mailing Address - Phone:605-661-8766
Mailing Address - Fax:
Practice Address - Street 1:2210 BARTON AVE APT 2
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23222-4442
Practice Address - Country:US
Practice Address - Phone:605-661-8766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-30
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health