Provider Demographics
NPI:1144605668
Name:RAWLINGS-DUBE, BRIELLE (LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:BRIELLE
Middle Name:
Last Name:RAWLINGS-DUBE
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18250 N 32ND ST UNIT 1032
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-1206
Mailing Address - Country:US
Mailing Address - Phone:602-620-5018
Mailing Address - Fax:
Practice Address - Street 1:18250 N 32ND ST UNIT 1032
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-1206
Practice Address - Country:US
Practice Address - Phone:602-620-5018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-26
Last Update Date:2015-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ12935101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional