Provider Demographics
NPI:1679247902
Name:DUERFELDT, CAROLYN NICHOLE (MA, LPC)
Entity type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:NICHOLE
Last Name:DUERFELDT
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:CAROLYN
Other - Middle Name:NICHOLE
Other - Last Name:TURNBOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:1555 NE RICE RD
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64086-5849
Mailing Address - Country:US
Mailing Address - Phone:816-347-3069
Mailing Address - Fax:816-347-3200
Practice Address - Street 1:1579 NORTHEAST RICE ROAD
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086
Practice Address - Country:US
Practice Address - Phone:816-379-6739
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-02
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
MO2020024363101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional