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NPI Code Detail

MEDICARE: MARK EDWARD DUBEC LMFTA

MEDICARE: MARK EDWARD DUBEC LMFTA
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
1106H00000XMarriage & Family Therapist35002300AIN

General Provider Information

NPI Number : 1700585361
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK EDWARD DUBEC LMFTA
Provider Business Mailing Address
First Line : 9961 CROSSPOINT BLVD # 100
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46256-3391
Country : US
Telephone Number : 317-585-1060
Fax Number :
Provider Business Practice Location Address
First Line : 9961 CROSSPOINT BLVD # 100
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46256-3391
Country : US
Telephone Number : 317-585-1060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2023
Last Update Date : 04/17/2023

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Directions to “ MARK EDWARD DUBEC LMFTA” Practice Location

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