Provider Demographics
NPI:1922996487
Name:DUNCAN, SAMANTHA LYNN (AMFT, APCC)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:LYNN
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:AMFT, APCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 CANYON LAKE DR
Mailing Address - Street 2:
Mailing Address - City:PORT COSTA
Mailing Address - State:CA
Mailing Address - Zip Code:94569-9800
Mailing Address - Country:US
Mailing Address - Phone:925-331-8988
Mailing Address - Fax:
Practice Address - Street 1:3 CANYON LAKE DR
Practice Address - Street 2:
Practice Address - City:PORT COSTA
Practice Address - State:CA
Practice Address - Zip Code:94569-9800
Practice Address - Country:US
Practice Address - Phone:925-331-8988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-25
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA149581101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health