Individual
MR. DARREN DUBOSE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QP., QMHP
Contact information
Practice address
3515 DAVID COX RD UNIT 480208, CHARLOTTE, NC 28269-2469
(704) 210-4428
Mailing address
PO BOX 480208, CHARLOTTE, NC 28269-5302
(704) 210-4428
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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