Provider Demographics
NPI:1992039150
Name:RAUBENSTRAUCH, JESSICA (NCC, MED)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:RAUBENSTRAUCH
Suffix:
Gender:F
Credentials:NCC, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 BINGHAM ST
Mailing Address - Street 2:FRANKLIN BUILDING, FOURTH FLOOR
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-1101
Mailing Address - Country:US
Mailing Address - Phone:412-235-5300
Mailing Address - Fax:412-235-5387
Practice Address - Street 1:1011 BINGHAM ST
Practice Address - Street 2:FRANKLIN BUILDING, FOURTH FLOOR
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-1101
Practice Address - Country:US
Practice Address - Phone:412-235-5300
Practice Address - Fax:412-235-5387
Is Sole Proprietor?:No
Enumeration Date:2009-09-21
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA94806101YP2500X
PA05027270101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool