Provider Demographics
NPI:1003348178
Name:DUPELL, OLIVIA (CRSW)
Entity Type:Individual
Prefix:
First Name:OLIVIA
Middle Name:
Last Name:DUPELL
Suffix:
Gender:F
Credentials:CRSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 FERRY ST
Mailing Address - Street 2:SUITE 319
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-5022
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10 FERRY ST
Practice Address - Street 2:SUITE 319
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-5022
Practice Address - Country:US
Practice Address - Phone:603-931-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-29
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0088101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)