Individual
JOSHUA DUBOISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-21163
AZ
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
LPC-21163
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487352183
—
AZ
Enumeration date
01/10/2019
Last updated
08/23/2024
Update your record
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