Individual
ELLEN RUBENFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC CEAP
Contact information
Practice address
186 GANNET CT, MANHASSET, NY 11030-4011
(860) 912-6769
Mailing address
186 GANNET CT, MANHASSET, NY 11030-4011
(860) 912-6769
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
00001187
CT
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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