Provider Demographics
NPI:1790751212
Name:KUBIS, JOHN STEVEN (LPC)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:STEVEN
Last Name:KUBIS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
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Mailing Address - Street 1:2200 MARKET ST
Mailing Address - Street 2:SUITE 600
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77550-1530
Mailing Address - Country:US
Mailing Address - Phone:409-762-8636
Mailing Address - Fax:409-762-4185
Practice Address - Street 1:2401 TERMINI ST
Practice Address - Street 2:SUITE C
Practice Address - City:DICKINSON
Practice Address - State:TX
Practice Address - Zip Code:77539-4995
Practice Address - Country:US
Practice Address - Phone:409-938-4814
Practice Address - Fax:409-763-4185
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-24
Last Update Date:2011-11-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX16617101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX167862501Medicaid
TX84537LOtherBLUE CROSS BLUE SHIELD
TXKUBIS-001OtherCOMPCARE