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NPI Code Detail

MEDICARE: MICHAL RUBIN PH.D. LPC

MEDICARE: MICHAL RUBIN PH.D. LPC
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
1101Y00000XCounselor2781SC

General Provider Information

NPI Number : 1528280435
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHAL RUBIN PH.D. LPC
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 : PRESIDENT
Name : DR. MICHAL RUBIN
Credential : PH.D. LPC
Telephone Number : 803-376-4005
Provider Enumeration Date : 05/02/2007
Last Update Date : 08/22/2020

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