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Kimberley Ann Dubeau

Marriage & Family Therapist

Behavioral Health & Social Service Providers

74075 El Paseo Ste B1, Palm Desert, CA 92260-4145

PECOS Enrollment

This provider is enrolled in PECOS as KIMBERLEY DUBEAU.

Based on the most recent information from CMS, provider Kimberley Ann Dubeau is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1144486663
Provider Type
Individual
Full Name
Dubeau, Kimberley Ann
Credential
LMFT

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/4/2008
Last Updated
9/9/2008

Contact Information

Practice Location

74075 El Paseo Ste B1, Palm Desert, CA 92260-4145

(760) 880-6242

Unlisted Fax

Mailing Location

74530 Fairway Dr, Palm Desert, CA 92260-4587

(760) 880-6242

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License MFC46101 California

Provider Identifiers

ID	Description	Issuer
ID MFC 46101	Description Other	Issuer BBS California

Kimberley Ann Dubeau

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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