Individual
DEBORAH A. DUBANOWICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC, LPC-IT
Contact information
Practice address
2600 HUMES RD STE 100, JANESVILLE, WI 53545-0491
(608) 741-2117
(608) 758-5761
Mailing address
2600 HUMES RD STE 100, JANESVILLE, WI 53545-0491
(608) 741-2117
(608) 758-5761
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16295-131
WI
101YP2500X
Professional Counselor
3545-226
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568986578
—
WI
Enumeration date
08/01/2017
Last updated
07/21/2022
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