Provider Demographics
NPI:1841587136
Name:DUBOSE, RACHAEL E (LPCC-S)
Entity Type:Individual
Prefix:MRS
First Name:RACHAEL
Middle Name:E
Last Name:DUBOSE
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:RACHAEL
Other - Middle Name:E
Other - Last Name:MILES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3004 SNOWVALLEY CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45251-1213
Mailing Address - Country:US
Mailing Address - Phone:513-400-3231
Mailing Address - Fax:
Practice Address - Street 1:3004 SNOWVALLEY CT
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45251-1213
Practice Address - Country:US
Practice Address - Phone:513-400-3231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-07
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.1000397101YM0800X
OHE.1000397-SUPV101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health