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NPI Code Detail

MEDICARE: CHRISTOPHER DUFOUR

MEDICARE:   CHRISTOPHER  DUFOUR
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1447607585
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER DUFOUR
Provider Business Mailing Address
First Line : 3626 N HALL ST # 550
Second Line :
City : DALLAS
State : TX
Zip : 75219-5105
Country : US
Telephone Number : 214-305-2110
Fax Number :
Provider Business Practice Location Address
First Line : 3626 N HALL ST # 550
Second Line :
City : DALLAS
State : TX
Zip : 75219-5105
Country : US
Telephone Number : 214-305-2110
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2016
Last Update Date : 09/15/2020

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Directions to “ CHRISTOPHER DUFOUR ” Practice Location

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