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NPI Code Detail

MEDICARE: RUBY LAW

MEDICARE: RUBY LAW
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) CounselorLCAS-29807NC
2101YM0800XMental Health CounselorA20583NC

General Provider Information

NPI Number : 1669204806
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUBY LAW
Provider Business Mailing Address
First Line : 2505 S MEBANE ST STE A-B
Second Line :
City : BURLINGTON
State : NC
Zip : 27215-6385
Country : US
Telephone Number : 336-223-0444
Fax Number : 336-223-0449
Provider Business Practice Location Address
First Line : 2505 S MEBANE ST STE A-B
Second Line :
City : BURLINGTON
State : NC
Zip : 27215-6385
Country : US
Telephone Number : 336-223-0444
Fax Number : 336-223-0449
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2024
Last Update Date : 02/02/2026

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Directions to “ RUBY LAW ” Practice Location

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