Individual
STACI REBECCA RUBIN-SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10149 N 92ND ST STE 103, SCOTTSDALE, AZ 85258-4557
(480) 666-7697
Mailing address
3313 E CLARK RD, PHOENIX, AZ 85050-2675
(480) 272-1989
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-21571
AZ
Other
Enumeration date
12/08/2023
Last updated
03/20/2024
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