Provider Demographics
NPI:1679870380
Name:DUPREE, VIKIA G
Entity type:Individual
Prefix:
First Name:VIKIA
Middle Name:G
Last Name:DUPREE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 W HYDE PARK BLVD APT 18
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90302-2953
Mailing Address - Country:US
Mailing Address - Phone:310-695-8501
Mailing Address - Fax:
Practice Address - Street 1:300 W HYDE PARK BLVD APT 18
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90302-2953
Practice Address - Country:US
Practice Address - Phone:310-695-8501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-15
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health