CLESHAUN A DUBOSE (NPI# 1568063154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568063154 |
| Entity Type | Individual |
| Full Name | CLESHAUN A DUBOSE |
| Credential | LAC |
| Practice Address |
6344 E Brown Rd Ste 104 Mesa AZ 85205-4843 |
| Mailing Address |
11221 S 51st St Apt 1059 Phoenix AZ 85044-4303 |
| Practice Telephone | 8443853747 |
| Mailing Telephone | 6234551581 |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LAC-19354 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
6344 E BROWN RD STE 104 |
| City | MESA |
| State | AZ |
| Zip Code | 85205-4843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083130199 | Rose Campbell | Technician/Technologist | 649 North Orlando, Mesa, AZ 85205 | 2017-08-21 |
| 1528459781 | Elizabeth Sadler | Nurse Practitioner | 4434 E Brown Rd Ste 102, Mesa, AZ 85205 | 2015-02-10 |
| 1326444324 | Katherine G Perez | Counselor | 152 N Power Rd Ste 2, Mesa, AZ 85205 | 2014-11-18 |
| 1831500800 | C.b.o Hearing | Hearing Aid Equipment | 4406 E. Main St, Suite 103, Mesa, AZ 85205 | 2014-05-13 |
| 1699195107 | Amanda Mcdaniel | Occupational Therapist | 5911 E. Fountain St., Mesa, AZ 85205 | 2014-04-23 |
| 1952640278 | Medstar Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3932 E Fairfield Cir, Mesa, AZ 85205 | 2013-02-06 |
| 1245575398 | Fabulous Smiles of Mesa | Dentist | 4434 E. Brown Rd, Ste 104, Mesa, AZ 85205 | 2012-11-30 |
| 1992087639 | Matthew Robert Millward | Pharmacist | 1935 N. Power Rd, Mesa, AZ 85205 | 2011-09-19 |
| 1740596733 | Arizona Family & Geriatric Medicine Pllc | Clinic/Center | 5602 E. Main St., Mesa, AZ 85205 | 2010-08-27 |
| 1295049609 | Thomas Chambers | Podiatrist | 5520 E Main St Ste 2, Mesa, AZ 85205 | 2010-07-28 |
| Find all providers in zip 85205 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780572 | Larry Jay Solomon | Counselor | 10710 E Medina Ave, Mesa, AZ 85209-3213 | 2020-04-30 |
| 1902427263 | Kelly Ann Meis I | Counselor | 3707 E Southern Ave Ste 1023, Mesa, AZ 85206-6202 | 2020-04-28 |
| 1518592971 | Debra L Delvecchio-lee | Counselor | 2152 S Vineyard Bldg 4, Mesa, AZ 85210-6871 | 2020-03-05 |
| 1093355356 | Kristen Eldridge | Counselor | 2929 N. Power Rd. Suite 101, Mesa, AZ 85215 | 2020-01-14 |
| 1861041733 | Belinda Wiens | Counselor | 2135 E University Dr., Suite 116, Mesa, AZ 85213 | 2019-09-04 |
| 1205497187 | Bonita Belinda Becker | Counselor | 3740 E Southern Ave Ste 120, Mesa, AZ 85206-2568 | 2019-06-22 |
| 1558927996 | Angeline Reine | Counselor | 4111 E Valley Auto Dr Ste 209-4, Mesa, AZ 85206-4605 | 2019-05-10 |
| 1639733520 | Randi Shuriee Gray | Counselor | 3740 E Southern Ave Ste 209, Mesa, AZ 85206-2512 | 2019-04-25 |
| 1396210324 | Austin Christopher Reina | Counselor | 2407 E Jacinto Ave, Mesa, AZ 85204-7008 | 2018-10-05 |
| 1801373279 | Jessica Lynn Breznak-higgins | Counselor | 4342 E Edgewood Ave, Mesa, AZ 85206-2646 | 2018-07-27 |
| Find all providers in MESA | ||||
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| 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.