Provider Demographics
NPI:1093105322
Name:DUPREE, DEVIN MICHELE (MS, LPC)
Entity Type:Individual
Prefix:MISS
First Name:DEVIN
Middle Name:MICHELE
Last Name:DUPREE
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17183 EDINBOROUGH RD
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48219-3528
Mailing Address - Country:US
Mailing Address - Phone:313-445-5196
Mailing Address - Fax:
Practice Address - Street 1:8495 WOODCREST DR
Practice Address - Street 2:APT. 1
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-4311
Practice Address - Country:US
Practice Address - Phone:313-445-5196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-26
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401013189101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health