| Doctor Name: | JENNIFER S DUBEY |
| NPI Number: | 1952788044 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SAC-IT |
| License Number: | 17375-130 |
| Business Practice Address: | 1610 Miller Park Way West Milwaukee, WI - 53214 |
| Business Phone Number: | 4146723801 |
| Business Fax Number: | 4146726026 |
| Mailing Address: | 5605 73rd St, KENOSHA |
| State: | WI |
| Postal Code: | 531423669 |
| Phone Number: | 2622205372 |
| Fax Number: | |
| NPI Enumeration Date: | 04/28/2015 |
| NPI Last Update Date: | 04/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 17375-130 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |