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Individual

KATIE RUBIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
952 COPPERFIELD BLVD NE, CONCORD, NC 28025-2433
(704) 786-7918
Mailing address
1708 DEARMON DR, CHARLOTTE, NC 28205-3712
(704) 342-3442

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5234
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
189915
MECOST
NC
05
6103280
NC
Enumeration date
01/25/2007
Last updated
07/08/2007
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