Provider Demographics
NPI:1962678482
Name:DUPUIS, HILLARY (MA)
Entity type:Individual
Prefix:MISS
First Name:HILLARY
Middle Name:
Last Name:DUPUIS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 HAYES ST STE B12CC
Mailing Address - Street 2:
Mailing Address - City:BENICIA
Mailing Address - State:CA
Mailing Address - Zip Code:94510-2945
Mailing Address - Country:US
Mailing Address - Phone:415-375-0414
Mailing Address - Fax:
Practice Address - Street 1:1350 HAYES ST STE B12CC
Practice Address - Street 2:
Practice Address - City:BENICIA
Practice Address - State:CA
Practice Address - Zip Code:94510-2945
Practice Address - Country:US
Practice Address - Phone:415-375-0414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52412106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist