Provider Demographics
NPI:1104648047
Name:DUPLECHAIN, ALLISON (MA, LMFT)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:DUPLECHAIN
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 UPTOWN PARK BLVD APT 164
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-3248
Mailing Address - Country:US
Mailing Address - Phone:323-527-7871
Mailing Address - Fax:
Practice Address - Street 1:1000 UPTOWN PARK BLVD APT 164
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-3248
Practice Address - Country:US
Practice Address - Phone:323-527-7871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA99480106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist