Provider Demographics
NPI:1497909758
Name:DUBA, WILLIAM J (LMHC)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:J
Last Name:DUBA
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:7501 E TREASURE DR APT 9P
Mailing Address - Street 2:
Mailing Address - City:NORTH BAY VILLAGE
Mailing Address - State:FL
Mailing Address - Zip Code:33141-4399
Mailing Address - Country:US
Mailing Address - Phone:305-244-0090
Mailing Address - Fax:786-216-7710
Practice Address - Street 1:7501 E TREASURE DR APT 9P
Practice Address - Street 2:
Practice Address - City:NORTH BAY VILLAGE
Practice Address - State:FL
Practice Address - Zip Code:33141-4399
Practice Address - Country:US
Practice Address - Phone:305-244-0090
Practice Address - Fax:786-216-7710
Is Sole Proprietor?:No
Enumeration Date:2008-11-12
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6806101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health