Provider Demographics
NPI:1326389206
Name:DUBLINO, JAMES P (MA,BA,AA,CATAC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:P
Last Name:DUBLINO
Suffix:
Gender:M
Credentials:MA,BA,AA,CATAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1060 S BROOKHURST RD
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92833-3709
Mailing Address - Country:US
Mailing Address - Phone:714-449-1339
Mailing Address - Fax:714-449-1289
Practice Address - Street 1:1060 S BROOKHURST RD
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92833-3709
Practice Address - Country:US
Practice Address - Phone:714-449-1339
Practice Address - Fax:714-449-1289
Is Sole Proprietor?:No
Enumeration Date:2013-03-02
Last Update Date:2013-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA112494101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)