Individual
GREGORY RUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC1958
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
684BGA
CARE FIRST MD
MD
01
—
K4020001
CARE FIRST DC
DC
Enumeration date
02/28/2007
Last updated
07/08/2007
Update your record
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