Individual
MICHELLE DUBININ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAADC, MAC
Contact information
Practice address
124 MALLARD ST, GREENVILLE, SC 29601
(864) 241-1040
Mailing address
124 MALLARD ST, GREENVILLE, SC 29601-4046
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C0188
GA
Other
Enumeration date
01/13/2017
Last updated
08/23/2018
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