Kirk Duboise
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Fort Smith, AR
NPI 1164843017 · NPPES record last updated Dec 19, 2013
Key facts
- NPI
- 1164843017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 615 N 19TH St
Fort Smith, AR 72901-3319 - Phone
- (479) 785-4083
- Fax
- (479) 668-2059
- NPI assigned
- Dec 19, 2013
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | AR | Yes |
Addresses
Primary practice location
615 N 19TH St
Fort Smith, AR 72901-3319
Mailing address
615 N 19TH St
Fort Smith, AR 72901-3319
Phone (479) 785-4083
Other providers in Fort Smith, AR
- Eric Eugene Drolshagen
- Leo Frances Drolshagen
- Brittney Drost
- Jennifer Lynn Drouillard
- DSW Anesthesia Services LLC
- Dubuis Health System, Inc.
- Kenny Duff
- Andrew Marcus Dugan
- Sandra Kay Dugan
- Andromeda Duncan
All providers in Fort Smith, AR · Addiction (Substance Use Disorder) Counselor in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.