Provider Demographics
NPI:1942464599
Name:DUPUIS, RENEE BEATRICE (LPC CSAC)
Entity Type:Individual
Prefix:MS
First Name:RENEE
Middle Name:BEATRICE
Last Name:DUPUIS
Suffix:
Gender:F
Credentials:LPC CSAC
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:B
Other - Last Name:DUPUIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC CSAC
Mailing Address - Street 1:4605 PEMBROKE LAKE CIR STE 103C
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-6434
Mailing Address - Country:US
Mailing Address - Phone:757-377-5682
Mailing Address - Fax:
Practice Address - Street 1:4605 PEMBROKE LAKE CIR STE 103C
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-6434
Practice Address - Country:US
Practice Address - Phone:757-377-5682
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-14
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA07010031751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical