Individual
JENNIFER A. DUBOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., C.A.S., LMFT
Contact information
Practice address
504 HOUSTON ST, BATAVIA, IL 60510-1842
(630) 326-9008
Mailing address
504 HOUSTON ST, BATAVIA, IL 60510-1842
(630) 326-9008
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166000738
IL
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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