| James Joseph Rubin Lpc | |
|
8084 Lyon Cir Apt 102 Manassas VA 20109-7468 | |
| (571) 208-2388 | |
| (571) 379-4080 |
| Full Name | James Joseph Rubin Lpc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 8084 Lyon Cir Apt 102, Manassas, Virginia |
| Authorized Official Name and Position | James J Rubin (OWNER) |
| Authorized Official Contact | 5712082388 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James Joseph Rubin Lpc 7371 Atlas Walk Way # 332 Gainesville VA 20155-2992 Ph: (571) 208-2388 | James Joseph Rubin Lpc 8084 Lyon Cir Apt 102 Manassas VA 20109-7468 Ph: (571) 208-2388 |
| NPI Number | 1639931462 |
|---|---|
| Provider Enumeration Date | 01/26/2024 |
| Last Update Date | 01/26/2024 |
| Certification Date | 01/26/2024 |
| Medicare PECOS PAC ID | 8820441769 |
|---|---|
| Medicare Enrollment ID | O20240127000191 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639931462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | James Joseph Rubin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093357881 PECOS PAC ID: 2466805304 Enrollment ID: I20240127000219 |
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