Provider Demographics
NPI:1508990581
Name:LUBIN, FREDERICK S (LPCC-S)
Entity Type:Individual
Prefix:MR
First Name:FREDERICK
Middle Name:S
Last Name:LUBIN
Suffix:
Gender:M
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2393 BEAUMONT RD
Mailing Address - Street 2:
Mailing Address - City:UPPER ARLINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43221-3930
Mailing Address - Country:US
Mailing Address - Phone:614-638-0842
Mailing Address - Fax:
Practice Address - Street 1:2393 BEAUMONT RD
Practice Address - Street 2:
Practice Address - City:UPPER ARLINGTON
Practice Address - State:OH
Practice Address - Zip Code:43221-3930
Practice Address - Country:US
Practice Address - Phone:614-638-0842
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE3971-SUPV101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional