Duba, Jill

Duba, Jill is an sole proprietor health care provider with primary practice located at 1045 Elm St , Bowling Green KY 42101-2513. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Duba, Jill can be contacted via phone (270) 843-1804.

Contact Information

Primary practice address
1045 Elm St Bowling Green KY 42101-2513
Phone: (270) 843-1804
Fax: (270) 843-0154
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0819 Kentucky
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X KY-04-0032 Kentucky

Profile Details

NPI number 1619160546
LBN Legal business name Duba, Jill
Credentials PH.D., LPCC, MFTA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2007
Last updated Jan 21st, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619160546 NPPES
Kentucky MEDICAID 30604011

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