Elizabeth A Dupree, LPCC

Individual provider Active NPI Professional Counselor · Wilmore, KY

NPI 1194099861 · NPPES record last updated Feb 28, 2012

Key facts

NPI
1194099861
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
1147 (KY)
Practice address
304 1/2 E Main St
Wilmore, KY 40390-1324
Phone
(859) 401-2868
NPI assigned
Feb 28, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1147KYMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1147 KY Yes

Addresses

Primary practice location

304 1/2 E Main St
Wilmore, KY 40390-1324

Mailing address

304 1/2 E Main St
Wilmore, KY 40390-1324
Phone (859) 401-2868

Other providers in Wilmore, KY

All providers in Wilmore, KY · Professional Counselor in Kentucky

Sources for this page

Verify at the official NPI Registry.