Provider Demographics
NPI:1447999859
Name:DUGGAN, EMILY LYNN (LPC)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:LYNN
Last Name:DUGGAN
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 1:603 SE BROWNING AVE
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64063-4328
Mailing Address - Country:US
Mailing Address - Phone:816-516-3249
Mailing Address - Fax:
Practice Address - Street 1:603 SE BROWNING AVE
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-4328
Practice Address - Country:US
Practice Address - Phone:816-516-3249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-02
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020004996101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty