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NPI Code Detail

MEDICARE: MOLLY RAE RUBEL MS LMFT

MEDICARE:   MOLLY RAE RUBEL  MS LMFT
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
1106H00000XMarriage & Family Therapist1406-124WI

General Provider Information

NPI Number : 1780197921
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOLLY RAE RUBEL MS LMFT
Provider Business Mailing Address
First Line : 285 FOREST GROVE DR STE 207A
Second Line :
City : PEWAUKEE
State : WI
Zip : 53072-3738
Country : US
Telephone Number : 262-719-1075
Fax Number :
Provider Business Practice Location Address
First Line : 285 FOREST GROVE DR STE 207A
Second Line :
City : PEWAUKEE
State : WI
Zip : 53072-3738
Country : US
Telephone Number : 262-470-2382
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2017
Last Update Date : 10/22/2025

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Directions to “ MOLLY RAE RUBEL MS LMFT” Practice Location

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