Individual
ANGELA DUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1870 19TH ST NE, SALEM, OR 97301-7938
(408) 497-4114
Mailing address
PO BOX 7617, SALEM, OR 97303-0116
(408) 497-4114
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
97010
CA
106H00000X
Marriage & Family Therapist
T2259
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
97010
OUT OF NETWORK
CA
Enumeration date
08/15/2013
Last updated
03/13/2024
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