Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dominique Page Dubois, LCSW

Individual provider Mental Health Counselor · NPI 1477854073

Dominique Page Dubois, LCSW is a Mental Health Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2010.

Licensed in
OR
In the registry since
2010
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

12790 SE Stark St
Portland, OR 97233-1552
Phone: (503) 328-1512
Fax: (503) 238-2436
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L6771 (OR)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1477854073
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 12, 2010
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024

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