Provider Demographics
NPI:1184840399
Name:RUBIO, BETSABE (LMFT-S, LPC-S)
Entity Type:Individual
Prefix:MRS
First Name:BETSABE
Middle Name:
Last Name:RUBIO
Suffix:
Gender:F
Credentials:LMFT-S, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4230 GARDENDALE ST
Mailing Address - Street 2:SUITE 502
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3475
Mailing Address - Country:US
Mailing Address - Phone:210-593-9725
Mailing Address - Fax:210-593-9751
Practice Address - Street 1:4230 GARDENDALE ST
Practice Address - Street 2:SUITE 502
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3475
Practice Address - Country:US
Practice Address - Phone:210-593-9725
Practice Address - Fax:210-593-9751
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2020-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20328101YP2500X
TX200898106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional