Mr. Mark Andre Dupont
Psychologist Addiction Counselor (Substance Use Disorder)
120 Labree Ave S
Thief River Falls
, Minnesota 56701-2819
Mr. Mark Andre Dupont
Psychologist Addiction Counselor (Substance Use Disorder)
120 Labree Ave S
Thief River Falls
, Minnesota 56701-2819
(763) 544-1308
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
- Psychologist
Languages spoken
- English
Location
First Address
- Mr. Mark Andre Dupont
- 120 Labree Ave S
- Thief River Falls, MN
- Zip : 56701-2819
- Phone : (763) 544-1308
Second Address
- Mr. Mark Andre Dupont
- 120 Labree Ave S
- Thief River Falls, MN
- Zip : 56701-2819
- Phone : (763) 544-1308
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What type of doctor is Mr. Mark Andre Dupont
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Is Mr. Mark Andre Dupont a sole practitioner?
Is Mr. Mark Andre Dupont accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 301178 | MN |
| N | 102L00000X | Psychologist | LP1455 | MN |
| N | 103T00000X | Psychologist | LP1455 | MN |
National Provider Identifier
| NPI | 1003932518 |
|---|---|
| Provider Name | Mr. Mark Andre Dupont |
| First Address | Thief River Falls, MN 56701-2819 |
| Second Address | Thief River Falls, MN 56701-2819 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/03/2007 |
| Last Update Date | 17/02/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.