Individual
CASEY DUBAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 SAINT PAUL ST STE 409, BALTIMORE, MD 21202-2102
(443) 449-5604
Mailing address
10042 THE MENDING WALL, COLUMBIA, MD 21044-1711
(410) 718-8298
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LGP9551
MD
101YM0800X
Mental Health Counselor
Primary
—
MD
Other
Enumeration date
05/10/2021
Last updated
01/02/2022
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