Individual
CHANEL L DUPREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
87 HOWARD DR APT A, BERGENFIELD, NJ 07621-4522
(551) 246-0068
Mailing address
PO BOX 402, BERGENFIELD, NJ 07621
(551) 246-0068
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/04/2021
Last updated
04/28/2023
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