Provider Demographics
NPI:1306220561
Name:DUBE COUNSELING SERVICE
Entity Type:Organization
Organization Name:DUBE COUNSELING SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:DUBE
Authorized Official - Suffix:
Authorized Official - Credentials:LADC LCS
Authorized Official - Phone:603-848-6347
Mailing Address - Street 1:50 NASHUA RD STE 205
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-3434
Mailing Address - Country:US
Mailing Address - Phone:603-848-6347
Mailing Address - Fax:
Practice Address - Street 1:50 NASHUA RD STE 205
Practice Address - Street 2:
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3434
Practice Address - Country:US
Practice Address - Phone:603-848-6347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-16
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty