Provider Demographics
NPI:1699021774
Name:DUPRE, YOLANDA A (PD, LPC, LMFT)
Entity Type:Individual
Prefix:DR
First Name:YOLANDA
Middle Name:A
Last Name:DUPRE
Suffix:
Gender:F
Credentials:PD, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3111 OLD STERLINGTON RD
Mailing Address - Street 2:APT 175
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-2659
Mailing Address - Country:US
Mailing Address - Phone:318-450-5065
Mailing Address - Fax:
Practice Address - Street 1:704 TRENTON ST
Practice Address - Street 2:STE B
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-2966
Practice Address - Country:US
Practice Address - Phone:318-450-5065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-26
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2559101YA0400X, 101YM0800X, 101YP2500X
LAMFT 952106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist