Provider Demographics
NPI:1699250399
Name:DUPERROIR, MORGAN RENEE (LPC)
Entity type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:RENEE
Last Name:DUPERROIR
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 1:1809 NW 41ST ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73118-2407
Mailing Address - Country:US
Mailing Address - Phone:918-576-8145
Mailing Address - Fax:
Practice Address - Street 1:7804 NW 89TH ST STE 1
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73132-3213
Practice Address - Country:US
Practice Address - Phone:405-655-8615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-27
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7489101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health