Individual
LESLI A DUBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
10 FEDERAL ST STE 307, SALEM, MA 01970-3875
(617) 758-8485
Mailing address
15 CABOT ST UNIT 1, SALEM, MA 01970-4847
(703) 298-8353
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
Primary
PSY10001533
MA
Other
Enumeration date
08/05/2022
Last updated
03/10/2026
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