Provider Demographics
NPI:1306162029
Name:ELIACIN, DUKENS (MS)
Entity type:Individual
Prefix:MR
First Name:DUKENS
Middle Name:
Last Name:ELIACIN
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:626 PERDIDO HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33413-1095
Mailing Address - Country:US
Mailing Address - Phone:786-633-2050
Mailing Address - Fax:
Practice Address - Street 1:626 PERDIDO HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33413-1095
Practice Address - Country:US
Practice Address - Phone:786-753-7593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-20
Last Update Date:2024-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT3793106H00000X
TN1283106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist