Individual
ERICA RUBRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
50 BRYANT AVE, ROSLYN, NY 11576-1105
(516) 621-1698
(516) 625-3289
Mailing address
50 BRYANT AVE, ROSLYN, NY 11576-1105
(516) 621-1698
(516) 625-3289
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
—
NY
106H00000X
Marriage & Family Therapist
Primary
000194
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000194
NYS LICENSE
NY
Enumeration date
07/28/2008
Last updated
07/21/2022
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