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NPI Code Detail

MEDICARE: MICHAL RUBIN PH.D.

MEDICARE: MICHAL RUBIN PH.D.
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
1101YA0400XAddiction (Substance Use Disorder) Counselor05012811SC
2101YM0800XMental Health Counselor2781SC

General Provider Information

NPI Number : 1255380598
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAL RUBIN PH.D.
Provider Business Mailing Address
First Line : 1821 PICKENS ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-2630
Country : US
Telephone Number : 803-376-4005
Fax Number : 803-376-4005
Provider Business Practice Location Address
First Line : 1821 PICKENS ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-2630
Country : US
Telephone Number : 803-376-4005
Fax Number : 803-376-4005
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2006
Last Update Date : 09/11/2025

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Directions to “ MICHAL RUBIN PH.D.” Practice Location

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