Provider Demographics
NPI:1477613248
Name:THE LUCAS MICHAEL RUBINO FAMILY AND CHILD COUNSELING CENTER
Entity Type:Organization
Organization Name:THE LUCAS MICHAEL RUBINO FAMILY AND CHILD COUNSELING CENTER
Other - Org Name:THE LUCAS CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:RUBINO
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:925-432-7844
Mailing Address - Street 1:515 MARINA BLVD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:94565-2102
Mailing Address - Country:US
Mailing Address - Phone:925-432-7844
Mailing Address - Fax:925-432-7804
Practice Address - Street 1:515 MARINA BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:CA
Practice Address - Zip Code:94565-2102
Practice Address - Country:US
Practice Address - Phone:925-432-7844
Practice Address - Fax:925-432-7804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty