Provider Demographics
NPI:1235779588
Name:DUPREE, CYNTHIA (QMHP-A, CPRS)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:DUPREE
Suffix:
Gender:F
Credentials:QMHP-A, CPRS
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 5032
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23324-0032
Mailing Address - Country:US
Mailing Address - Phone:757-790-7906
Mailing Address - Fax:
Practice Address - Street 1:1145 COMMERCE AVE
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23324
Practice Address - Country:US
Practice Address - Phone:757-790-7906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-14
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty