Provider Demographics
NPI:1083920516
Name:DUBIT, SAMANTHA (LPC)
Entity Type:Individual
Prefix:MS
First Name:SAMANTHA
Middle Name:
Last Name:DUBIT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5236 44TH ST NW
Mailing Address - Street 2:#4
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20015-2135
Mailing Address - Country:US
Mailing Address - Phone:301-461-4714
Mailing Address - Fax:202-237-1198
Practice Address - Street 1:5236 44TH ST NW
Practice Address - Street 2:#4
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20015-2135
Practice Address - Country:US
Practice Address - Phone:301-461-4714
Practice Address - Fax:202-237-1198
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-21
Last Update Date:2010-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC13984101YM0800X
MDLC2551101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health