Individual
BEVERLY ANN DUBOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC II CGAC I
Contact information
Practice address
2100 MAIN ST, BAKER CITY, OR 97814-2655
(541) 523-8364
(541) 523-8367
Mailing address
2100 MAIN ST, BAKER CITY, OR 97814-2655
(541) 523-8364
(541) 523-8367
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
98P03
OR
Other
Enumeration date
06/24/2013
Last updated
06/24/2013
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