Most Relevant Information
Provider Data
| NPI Number: | 1003572116 |
| Provider Name: | PAUL DUBOIS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | CSA0221211 |
Most Important Dates
| Enumeration Date: | 11/12/2021 |
| Last Updated: | 11/12/2021 |
Provider Practice Location
8205 SPAIN RD NE STE 106
ALBUQUERQUE
NM
871093155
Practice Location Phone/Fax
| Phone: | 5058560300 |
| Fax: |
Provider Mailing Location
8205 SPAIN RD NE STE 106
ALBUQUERQUE
NM
871093155
Provider Mailing Phone/Fax
| Phone: | 5058560300 |
| Fax: | 5058567946 |