Individual
JENNIFER R RUBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, CDCA
Contact information
Practice address
3333 BURNET AVE, PSYCHIATRY ML 3014, CINCINNATI, OH 45229-3026
(513) 636-4788
(513) 636-4283
Mailing address
3333 BURNET AVE, PSYCHIATRY ML 3014, CINCINNATI, OH 45229-3026
(513) 636-4788
(513) 636-4283
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
I.1440094
OH
Other
Enumeration date
02/13/2012
Last updated
09/10/2015
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