Individual
MRS. DIANE BUBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, RD, LDN, CLT
Contact information
Practice address
3528 BECKET LN, NAPERVILLE, IL 60564-4141
(630) 369-5645
(630) 369-5651
Mailing address
3528 BECKET LN, NAPERVILLE, IL 60564-4141
(630) 369-5645
(630) 369-5651
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.000604
IL
133V00000X
Registered Dietitian
1640011456
IL
Other
Enumeration date
10/30/2007
Last updated
02/15/2017
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