Individual
ESTHER DUBIQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5286 WALLER CT, VIRGINIA BEACH, VA 23464-5452
(757) 713-7159
Mailing address
1385 FORDHAM DR STE 105-199, VIRGINIA BEACH, VA 23464-5345
(757) 971-3715
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6256
TN
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
0904009587
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356638738
—
VA
05
—
21062003000416
—
VA
01
—
PVM2447
PROVIDER TRANSACTION NUMBER (PTAN)
—
Enumeration date
07/06/2011
Last updated
05/10/2023
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