Individual provider · Type 1 NPI
Delvondria Daiyunte Dubose, MA, LCAS, CCS, LPC-A
Addiction (Substance Use Disorder) Counselor · Rural Hall, NC
NPI number
1124404389
Active
Practice location
916 Bitting Hall Cir
Rural Hall, NC 27045-9883
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 21927 (NC) |
| Professional Counselor | 101YP2500X | 10730 (SC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1124404389
Delvondria Daiyunte Dubose, MA, LCAS, CCS, LPC-A's National Provider Identifier is 1124404389, issued on Aug 10, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rural Hall, NC. The record was last updated on Feb 4, 2026.