Provider Demographics
NPI:1326275645
Name:DUGUAY, ISABELLE (MA, LPCC, LCPC)
Entity Type:Individual
Prefix:
First Name:ISABELLE
Middle Name:
Last Name:DUGUAY
Suffix:
Gender:F
Credentials:MA, LPCC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7515 WAYZATA BLVD
Mailing Address - Street 2:SUITE 229
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55426-1604
Mailing Address - Country:US
Mailing Address - Phone:612-850-7973
Mailing Address - Fax:
Practice Address - Street 1:7515 WAYZATA BLVD
Practice Address - Street 2:SUITE 229
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55426-1604
Practice Address - Country:US
Practice Address - Phone:612-850-7973
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-12
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC00150101YP2500X
MNLPC00773101YP2500X
IL180006172101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional