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Organization
RUBICON COUNSELING LLC
Active
Organization
RUBICON COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANDY BASS MA, LPC, NCC (OWNER)
(434) 962-9730
Entity
Organization
Contact information
Practice address
14700 VILLAGE SQUARE PL, MIDLOTHIAN, VA 23112-2253
(434) 962-9730
Mailing address
17000 OLD WESTRIDGE DR, MOSELEY, VA 23120-2340
(434) 962-9730
(703) 852-0761
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
601463797
—
VA
Enumeration date
03/02/2021
Last updated
02/22/2023
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