Provider Demographics
NPI:1023754280
Name:DUBUISSON, ANNE-KENYA (MSED, MHC)
Entity type:Individual
Prefix:
First Name:ANNE-KENYA
Middle Name:
Last Name:DUBUISSON
Suffix:
Gender:F
Credentials:MSED, MHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16820 127TH AVE APT 2C
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11434-3116
Mailing Address - Country:US
Mailing Address - Phone:646-314-1134
Mailing Address - Fax:
Practice Address - Street 1:720 BEACH 20TH ST
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-3502
Practice Address - Country:US
Practice Address - Phone:718-327-7002
Practice Address - Fax:718-327-0668
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-10
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health