Provider Demographics
NPI:1447574884
Name:RUBIN, YAEL M (LPCC)
Entity Type:Individual
Prefix:DR
First Name:YAEL
Middle Name:M
Last Name:RUBIN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 W 78TH ST
Mailing Address - Street 2:#280A
Mailing Address - City:CHANHASSEN
Mailing Address - State:MN
Mailing Address - Zip Code:55317-8715
Mailing Address - Country:US
Mailing Address - Phone:612-203-5257
Mailing Address - Fax:952-470-5783
Practice Address - Street 1:80 W 78TH ST
Practice Address - Street 2:#280A
Practice Address - City:CHANHASSEN
Practice Address - State:MN
Practice Address - Zip Code:55317-8715
Practice Address - Country:US
Practice Address - Phone:612-203-5257
Practice Address - Fax:952-470-5783
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-14
Last Update Date:2010-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC00054101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional