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NPI Code Detail

MEDICARE: TAMAR RUBIN LPCC

MEDICARE: TAMAR RUBIN LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor0170051NM

General Provider Information

NPI Number : 1124151808
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMAR RUBIN LPCC
Provider Business Mailing Address
First Line : PO BOX 94508
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87199-4508
Country : US
Telephone Number : 505-384-7352
Fax Number : 505-274-7338
Provider Business Practice Location Address
First Line : 220 4TH AVE
Second Line :
City : RATON
State : NM
Zip : 87740-2643
Country : US
Telephone Number : 575-758-5857
Fax Number : 575-758-5860
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2007
Last Update Date : 07/21/2022

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