Provider Demographics
NPI:1730137100
Name:DUBES, ANN BEYENKA (PHD, LPC, NBCC, NG)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:BEYENKA
Last Name:DUBES
Suffix:
Gender:F
Credentials:PHD, LPC, NBCC, NG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1302 N OAK AVE
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-1344
Mailing Address - Country:US
Mailing Address - Phone:479-521-3392
Mailing Address - Fax:
Practice Address - Street 1:1302 N OAK AVE
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-1344
Practice Address - Country:US
Practice Address - Phone:479-521-3392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP9509028101YM0800X, 101YP2500X, 101Y00000X
P9509028101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor