CANDICE GRACE DUBEAU


Address: 1312 Slater St, Sugar Grove, IL 60554-9823
Phone: 9289193139

CANDICE GRACE DUBEAU (NPI# 1528607066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528607066
Entity Type Individual
Full Name CANDICE GRACE DUBEAU
Other Name CANDICE G KOREBA
Practice Address 1312 Slater St
Sugar Grove
IL 60554-9823
Practice Telephone 9289193139
Mailing Telephone 9289193139
Enumeration Date 2020-01-01
Last Update Date 2020-01-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
IL Behavioral Health & Social Service Providers

Office Location

Street Address 1312 SLATER ST
City SUGAR GROVE
State IL
Zip Code 60554-9823

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City SUGAR GROVE
Zip Code 60554

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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