Dube, Shyamolika

Dube, Shyamolika is an individual health care provider with primary practice located at 720 Wood St. , Eureka CA 95501. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Dube, Shyamolika can be contacted via phone (707) 268-3370.

Contact Information

Primary practice address
720 Wood St. Eureka CA 95501
Phone: (707) 268-3370
Fax: (707) 268-3389
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X California
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW95525 California

Profile Details

NPI number 1083090914
LBN Legal business name Dube, Shyamolika
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2015
Last updated Sep 14th, 2020 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1083090914 NPPES
California MEDICAID 101Y00000X
California MEDICAID 1041C0700X

Popular Providers