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General NPI Number Information
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NPI Number | 1811056674
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Entity Type | Individual
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Provider Name | MICHELLE LEE DUBOIS LMHC,CDP,MAC,NAADAC
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Gender | Female
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Dates
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Enumeration Date | 12/07/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1516 S 11TH ST
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City | TACOMA
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State | WA
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Zip | 98405-3332
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Country | US
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Telephone | 253-396-1634
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Fax |
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Provider Business Mailing Address
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Address Line | 1307 GARFIELD ST S
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City | TACOMA
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State | WA
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Zip | 98444-3825
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Country | US
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Telephone | 253-330-2901
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CP00005533
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH00004887
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 85353 MAC,NAADAC
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License Number State | VA
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