Provider Demographics
NPI:1063604817
Name:DUPRE, CYNTHIA CARA (LPC)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:CARA
Last Name:DUPRE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3804 AVENUE B
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78751-4906
Mailing Address - Country:US
Mailing Address - Phone:512-459-3353
Mailing Address - Fax:
Practice Address - Street 1:3804 AVENUE B
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78751-4906
Practice Address - Country:US
Practice Address - Phone:512-459-3353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-15
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63172101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional