Individual
JESSICA RUBALCABA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
5203 SHARON RD, CHARLOTTE, NC 28210-4721
(704) 554-9900
(704) 554-9956
Mailing address
3646 CENTRAL AVE, CHARLOTTE, NC 28205-6064
(704) 910-5810
(980) 207-0214
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A15331
NC
Other
Enumeration date
10/24/2019
Last updated
05/16/2022
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