MRS. Krystyna Dubose

NPI #1568795912 in Locust Grove, Georgia

Provider Information

NPI Number: 1568795912
Entity Type: Individual
Name: MRS. Krystyna Dubose
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Sep 16, 2009
Last Updated: Nov 27, 2018

Practice Location

Address: 107 CLUB DR
City: Locust Grove
State: Georgia
ZIP Code: 30248-3103
Phone: (407) 460-9344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary
Developmental Therapist	222Q00000X

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