Basic Information
Provider Information
NPI: 1104997576
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DURKEE
FirstName: STEVEN
MiddleName: I
NamePrefix: MR.
NameSuffix:  
Credential: LPCC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 635283
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452635283
CountryCode: US
TelephoneNumber: 8593015901
FaxNumber: 8593015940
Practice Location
Address1: 334 THOMAS MORE PKWY
Address2:  
City: CRESTVIEW HILLS
State: KY
PostalCode: 41017
CountryCode: US
TelephoneNumber: 8593015901
FaxNumber: 8593015940
Other Information
ProviderEnumerationDate: 11/10/2006
LastUpdateDate: 08/30/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500X0612KYN Behavioral Health & Social Service ProvidersCounselorProfessional
101YM0800X103351KYY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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