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NPI Code Detail

MEDICARE: MS. AUSTIN KATHERINE DUPREE LPC-A

MEDICARE:  MS. AUSTIN KATHERINE DUPREE  LPC-A
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
1101YM0800XMental Health Counselor86933TX

General Provider Information

NPI Number : 1083372726
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AUSTIN KATHERINE DUPREE LPC-A
Provider Business Mailing Address
First Line : 412 MARTINIQUE AVE
Second Line :
City : DALLAS
State : TX
Zip : 75223-1434
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4514 COLE AVE STE 200
Second Line :
City : DALLAS
State : TX
Zip : 75205-4153
Country : US
Telephone Number : 214-980-0915
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2021
Last Update Date : 11/30/2021

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Directions to “ MS. AUSTIN KATHERINE DUPREE LPC-A” Practice Location

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