Provider Demographics
NPI:1225475189
Name:RUBIN, NOAH J (MA LMHC)
Entity Type:Individual
Prefix:MR
First Name:NOAH
Middle Name:J
Last Name:RUBIN
Suffix:
Gender:M
Credentials:MA LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1208 10TH AVE W APT 2
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119-3449
Mailing Address - Country:US
Mailing Address - Phone:206-501-5777
Mailing Address - Fax:
Practice Address - Street 1:12550 GREENWOOD AVE N APT 203
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-8045
Practice Address - Country:US
Practice Address - Phone:206-501-5777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-31
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60451798101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health