MEDICARE: MR. WESTLEY DUBREE APSS, CSA

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
1	175T00000X	Peer Specialist

General Provider Information

NPI Number	:	1083564728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WESTLEY DUBREE APSS, CSA

Provider Business Mailing Address
First Line	:	709 HILL RISE CT APT 107
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40504-2722
Country	:	US
Telephone Number	:	270-819-8826
Fax Number	:

Provider Business Practice Location Address
First Line	:	709 HILL RISE CT APT 107
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40504-2722
Country	:	US
Telephone Number	:	270-819-8826
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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