Provider Demographics
NPI:1649533837
Name:RUBIN, JANE NEFF (LPC, NCC)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:NEFF
Last Name:RUBIN
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 FAIR OAKS DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63124-1514
Mailing Address - Country:US
Mailing Address - Phone:314-504-2232
Mailing Address - Fax:314-995-9043
Practice Address - Street 1:9890 CLAYTON RD STE 136
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63124-1638
Practice Address - Country:US
Practice Address - Phone:314-725-1515
Practice Address - Fax:314-995-9043
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009009102101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional