MEDICARE: DR. WILLIAM JARED DUPREE LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	LMFT #201281	TX

General Provider Information

NPI Number	:	1043457369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM JARED DUPREE LMFT

Provider Business Mailing Address
First Line	:	2600 S SHORE BLVD
Second Line	:	#300
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-2943
Country	:	US
Telephone Number	:	281-299-2585
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 S SHORE BLVD
Second Line	:	#300
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-2943
Country	:	US
Telephone Number	:	281-299-2585
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2009
Last Update Date	:	11/30/2010

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