CLESHAUN A DUBOSE LAC NPI 1568063154

NPI Information

NPI: 1568063154
Provider Name: CLESHAUN A DUBOSE, LAC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
6344 E BROWN RD STE 104
MESA, AZ
ZIP 85205
Phone: (844) 385-3747
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Cleshaun A Dubose, LAC is a professional counselor in Mesa, AZ. Cleshaun A Dubose, LAC NPI is 1568063154. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6344 E BROWN RD STE 104
MESA, AZ
ZIP 85205-843
Phone: (844) 385-3747

The enumeration date for this NPI number is 11/2/2020 and was last updated on 11/2/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	LAC-19354	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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