Provider Demographics
NPI:1689843690
Name:DUBS, M. DOREEN (MA, LPC)
Entity Type:Individual
Prefix:
First Name:M.
Middle Name:DOREEN
Last Name:DUBS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:277 IRWIN PL
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:CO
Mailing Address - Zip Code:80516-6556
Mailing Address - Country:US
Mailing Address - Phone:303-502-4426
Mailing Address - Fax:
Practice Address - Street 1:837 SHERMAN ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-2943
Practice Address - Country:US
Practice Address - Phone:303-502-4426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-23
Last Update Date:2011-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4568101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional