| Doctor Name: | KELLY JO DUPREY |
| NPI Number: | 1225296783 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LPC |
| License Number: | 3645-125 |
| Business Practice Address: | 5900 Monona Dr Ste 100 Monona, WI - 537163556 |
| Business Phone Number: | 6086630763 |
| Business Fax Number: | |
| Mailing Address: | 5900 Monona Dr Ste 100, MONONA |
| State: | WI |
| Postal Code: | 537163556 |
| Phone Number: | 6086630763 |
| Fax Number: | |
| NPI Enumeration Date: | 05/30/2008 |
| NPI Last Update Date: | 06/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 3645-125 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |