Healthcare Provider Details

I. General information

NPI: 1346968815
Provider Name (Legal Business Name): RUBERTI COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2022
Last Update Date: 08/19/2022
Certification Date: 08/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 S 4TH ST STE 477
PHILADELPHIA PA
19147-1582
US

IV. Provider business mailing address

525 S 4TH ST STE 477
PHILADELPHIA PA
19147-1582
US

V. Phone/Fax

Practice location:
  • Phone: 215-330-5830
  • Fax:
Mailing address:
  • Phone: 215-592-4145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE BRUNING
Title or Position: OWNER
Credential: LPC
Phone: 609-992-4989