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General NPI Number Information
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NPI Number | 1922665330
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Entity Type | Organization
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Legal Business Name | RUBICON CENTER FOR COUNSELING LLC
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Dates
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Enumeration Date | 05/21/2019
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 3208 WHITNEY AVE STE 1
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City | HAMDEN
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State | CT
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Zip | 06518-2158
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Country | US
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Telephone | 203-537-0542
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Fax | 203-535-1119
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Provider Business Mailing Address
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Address Line | 3208 WHITNEY AVE STE 1
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City | HAMDEN
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State | CT
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Zip | 06518-2158
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Country | US
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Telephone | 203-537-0542
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JANIS ELIZABETH LUCKY
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Credential | MS,NCC,LPC
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Telephone | 203-537-0542
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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