Tara Dupont's National Provider Identifier (NPI) Details
Tara Dupont, LPC
NPI: 1679105720
Enumeration Date: 2020-02-06
Last updated: 2024-01-02
Sole Proprietor: NO
Status: active
Postal Address: 2620 CENTENARY BLVD STE 312, SHREVEPORT, LA
Phone: 318-681-9935
Primary Practice Address: 2909 DONALD DR, BOSSIER CITY, LA
Practice's phone: 318-573-2943