Provider Demographics
NPI:1093260754
Name:DUBE, MARY (LADC, LCS)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:DUBE
Suffix:
Gender:F
Credentials:LADC, LCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 NASHUA RD
Mailing Address - Street 2:DUBE COUNSELING SERVICE
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053
Mailing Address - Country:US
Mailing Address - Phone:603-848-6347
Mailing Address - Fax:
Practice Address - Street 1:50 NASHUA RD.
Practice Address - Street 2:SUITE 205
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053
Practice Address - Country:US
Practice Address - Phone:603-848-6347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-23
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)