Provider Demographics
NPI:1265410419
Name:DUPARRI, MARY J (LPC)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:J
Last Name:DUPARRI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:349 WOODRUN DR
Mailing Address - Street 2:
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63021-6153
Mailing Address - Country:US
Mailing Address - Phone:636-227-3016
Mailing Address - Fax:
Practice Address - Street 1:14323 S OUTER 40
Practice Address - Street 2:SUITE 607 S
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-5739
Practice Address - Country:US
Practice Address - Phone:314-205-9344
Practice Address - Fax:314-275-7773
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOCS001844101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
29984OtherNBCC