Individual
VIVIANNA RUBLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
6770 DIXIE HWY STE 103, CLARKSTON, MI 48346-2088
(248) 922-7726
(248) 856-1492
Mailing address
25387 WITHERSPOON ST, FARMINGTON HILLS, MI 48335-1367
(248) 505-0910
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451021955
MI
Other
Enumeration date
03/09/2022
Last updated
02/01/2023
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