Basic Information
| Provider Information | |||||||||
| NPI: | 1740601459 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DUPLESSIS | ||||||||
| FirstName: | GERMEEN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3316 WEST BEVERLY BLVD. | ||||||||
| Address2: | |||||||||
| City: | MONTEBELLO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 90640 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3233465877 | ||||||||
| FaxNumber: | 5629429625 | ||||||||
| Practice Location | |||||||||
| Address1: | 1911 WILLIAMS DR STE 210 | ||||||||
| Address2: | |||||||||
| City: | OXNARD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 930362612 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3233465877 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/23/2013 | ||||||||
| LastUpdateDate: | 08/26/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/26/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | 105106-CCBCDC | CA | N | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | 101YM0800X | ASW61269 | CA | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 104100000X | LCSW88206 | CA | Y | Behavioral Health & Social Service Providers | Social Worker |
ID Information
| ID | Type | State | Issuer | Description | 105106-CCBCDC | 01 | CA | CALIFORNIA CERTIFICATION BOARD OF CHEMICAL DEPENDENCY COUNSELORS | OTHER |