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Individual

ELLENA VANESSA RUBINSTEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCMHC

Contact information

Practice address
2235 LEWISVILLE CLEMMONS RD STE A, CLEMMONS, NC 27012-9342
(336) 722-7266
(336) 201-0538
Mailing address
713 S MARSHALL ST, WINSTON SALEM, NC 27101-5808
(336) 722-7266
(336) 201-0538

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
19244
NC
101YM0800X
Mental Health Counselor
5600
SC

Other

Enumeration date
03/07/2014
Last updated
10/06/2023
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