| Doctor Name: | LESLEY E. DUBAY |
| NPI Number: | 1124160429 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LAC |
| License Number: | 942 |
| Business Practice Address: | 802 Main St Ste C Polson, MT - 598603200 |
| Business Phone Number: | 4068837310 |
| Business Fax Number: | 4068837312 |
| Mailing Address: | 34166 Minesinger Trl, POLSON |
| State: | MT |
| Postal Code: | 598607302 |
| Phone Number: | 4068837310 |
| Fax Number: | 4068837312 |
| NPI Enumeration Date: | 02/13/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 942 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |