Provider Demographics
NPI:1053120030
Name:DUVALL, LEIGH ANDREA (LPC)
Entity type:Individual
Prefix:
First Name:LEIGH
Middle Name:ANDREA
Last Name:DUVALL
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 1:207 N WATERVIEW DR
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-4845
Mailing Address - Country:US
Mailing Address - Phone:817-229-4937
Mailing Address - Fax:
Practice Address - Street 1:207 N WATERVIEW DR
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-4845
Practice Address - Country:US
Practice Address - Phone:817-229-4937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60719101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor