Doctor Name: | MS. DEBORAH ANN DUBE |
NPI Number: | 1275693236 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | R034785-1 |
Business Practice Address: | 88 Woodruff St Saranac Lake, NY - 129831713 |
Business Phone Number: | 5186377675 |
Business Fax Number: | |
Mailing Address: | 68 Elm St, #4 LAKE PLACID |
State: | NY |
Postal Code: | 129463845 |
Phone Number: | 5185230048 |
Fax Number: | |
NPI Enumeration Date: | 12/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | R034785-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |