Provider Demographics
NPI:1720250996
Name:DUFFEE, NANCY SUE (LPC)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:SUE
Last Name:DUFFEE
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 1:185 ROSS RD
Mailing Address - Street 2:
Mailing Address - City:SUNBURY
Mailing Address - State:OH
Mailing Address - Zip Code:43074-9749
Mailing Address - Country:US
Mailing Address - Phone:740-404-7762
Mailing Address - Fax:740-986-5186
Practice Address - Street 1:570 N STATE ST
Practice Address - Street 2:SUITE 210
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-8086
Practice Address - Country:US
Practice Address - Phone:740-404-7762
Practice Address - Fax:740-986-5186
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-28
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHC0600673OtherCOUNSELOR SOCIAL WORKER MARRIAGE AND FAMILY COUNSELOR BOARD