MEDICARE: MRS. MARIAN F RUBIO MA, 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
1	101YP2500X	Professional Counselor	9443	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972673366
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARIAN F RUBIO MA, LPC

Provider Business Mailing Address
First Line	:	1514 VIEWRIDGE DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78213-3133
Country	:	US
Telephone Number	:	210-364-8663
Fax Number	:	210-349-6207

Provider Business Practice Location Address
First Line	:	5825 CALLAGHAN RD STE 200
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-1107
Country	:	US
Telephone Number	:	210-364-8663
Fax Number	:	210-618-0324

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	05/16/2025

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