Provider Demographics
NPI:1609174630
Name:GARCIA, RUBEN J (LCDC)
Entity Type:Individual
Prefix:MR
First Name:RUBEN J
Middle Name:
Last Name:GARCIA
Suffix:
Gender:M
Credentials:LCDC
Other - Prefix:
Other - First Name:RJ
Other - Middle Name:
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCDC
Mailing Address - Street 1:PO BOX 27512
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78755-2512
Mailing Address - Country:US
Mailing Address - Phone:512-589-6886
Mailing Address - Fax:
Practice Address - Street 1:4807 SPICEWOOD SPRINGS RD
Practice Address - Street 2:BLDG. 2, SUITE 103
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-8444
Practice Address - Country:US
Practice Address - Phone:512-589-6886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-28
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11289101Y00000X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor