MEDICARE: SIMONE DUPREE

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	101YP2500X	Professional Counselor	PC015690	PA

General Provider Information

NPI Number	:	1902791064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIMONE DUPREE

Provider Business Mailing Address
First Line	:	111 ELIAS DR
Second Line	:
City	:	PENN HILLS
State	:	PA
Zip	:	15235-1707
Country	:	US
Telephone Number	:	412-969-3826
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 ELIAS DR
Second Line	:
City	:	PENN HILLS
State	:	PA
Zip	:	15235-1707
Country	:	US
Telephone Number	:	412-969-3826
Fax Number	:

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

Provider Enumeration Date	:	06/10/2025
Last Update Date	:	06/10/2025

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Directions to “ SIMONE DUPREE ” Practice Location

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