Provider Demographics
NPI:1891090817
Name:RUBINO, APRIL KING (LPC, CRC, CHT, RYT)
Entity Type:Individual
Prefix:MS
First Name:APRIL
Middle Name:KING
Last Name:RUBINO
Suffix:
Gender:F
Credentials:LPC, CRC, CHT, RYT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 S JEFFERSON ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MOSCOW
Mailing Address - State:ID
Mailing Address - Zip Code:83843-3096
Mailing Address - Country:US
Mailing Address - Phone:208-882-8159
Mailing Address - Fax:
Practice Address - Street 1:803 S JEFFERSON ST
Practice Address - Street 2:SUITE 3
Practice Address - City:MOSCOW
Practice Address - State:ID
Practice Address - Zip Code:83843-3096
Practice Address - Country:US
Practice Address - Phone:208-882-8159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-22
Last Update Date:2011-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC-4534101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional