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General NPI Number Information
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NPI Number | 1023754280
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Entity Type | Individual
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Provider Name | ANNE-KENYA DUBUISSON MSED, MHC
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Gender | Female
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Dates
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Enumeration Date | 05/10/2022
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 720 BEACH 20TH ST
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-3502
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Country | US
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Telephone | 718-327-7002
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Fax | 718-327-0668
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Provider Business Mailing Address
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Address Line | 16820 127TH AVE APT 2C
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City | JAMAICA
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State | NY
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Zip | 11434-3116
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Country | US
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Telephone | 646-314-1134
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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