Provider Demographics
NPI:1831676790
Name:FINERON, RUBEN JOSEPH (LPC)
Entity Type:Individual
Prefix:MR
First Name:RUBEN
Middle Name:JOSEPH
Last Name:FINERON
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:MR
Other - First Name:RUBEN
Other - Middle Name:JOSEPH
Other - Last Name:FINERON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:715 BROWN ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-5503
Mailing Address - Country:US
Mailing Address - Phone:915-226-8227
Mailing Address - Fax:
Practice Address - Street 1:1626 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-5010
Practice Address - Country:US
Practice Address - Phone:915-779-3764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-24
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX74361101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty