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NPI Code Detail

MEDICARE: DAGMARA M KLUBEK LPC

MEDICARE: DAGMARA M KLUBEK LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor37PC00626400NJ

General Provider Information

NPI Number : 1275044257
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAGMARA M KLUBEK LPC
Provider Business Mailing Address
First Line : 15019 MADEIRA WAY
Second Line : PO BOX 8391
City : MADEIRA BEACH
State : FL
Zip : 33708
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 990 VILLA ST
Second Line :
City : MOUNTAIN VIEW
State : CA
Zip : 94041-1236
Country : US
Telephone Number : 888-688-9296
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2017
Last Update Date : 01/12/2026

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Directions to “ DAGMARA M KLUBEK LPC” Practice Location

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