| Doctor Name: | MR. JEFFREY OGLE DUPREY |
| NPI Number: | 1164759783 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW, LICSW, LAC |
| License Number: | 259 |
| Business Practice Address: | 4th Armored Division Drive Asap, Bldg# 10250 Fort Drum, NY - 136027999 |
| Business Phone Number: | 3157723281 |
| Business Fax Number: | 3157724097 |
| Mailing Address: | 310 Mill St, Apt#1 THERESA |
| State: | NY |
| Postal Code: | 136913211 |
| Phone Number: | 4136365027 |
| Fax Number: | |
| NPI Enumeration Date: | 11/04/2009 |
| NPI Last Update Date: | 04/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 259 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |