Provider Demographics
NPI:1770210916
Name:DUPREY, LAURA SUZANNE (LPC)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:SUZANNE
Last Name:DUPREY
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 1:2326 CENTRAL PARK AVE
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-1810
Mailing Address - Country:US
Mailing Address - Phone:312-420-6922
Mailing Address - Fax:
Practice Address - Street 1:2326 CENTRAL PARK AVE
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-1810
Practice Address - Country:US
Practice Address - Phone:312-420-6922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178015402101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional