Provider Demographics
NPI:1649960717
Name:RUBINO, LOREN HESSION (LPCA, ATRP)
Entity type:Individual
Prefix:
First Name:LOREN
Middle Name:HESSION
Last Name:RUBINO
Suffix:
Gender:M
Credentials:LPCA, ATRP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 POST RD FL 1
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:CT
Mailing Address - Zip Code:06820-3600
Mailing Address - Country:US
Mailing Address - Phone:203-202-7654
Mailing Address - Fax:
Practice Address - Street 1:SASCO RIVER CENTER
Practice Address - Street 2:330 POST ROAD
Practice Address - City:DARIEN
Practice Address - State:CT
Practice Address - Zip Code:06820
Practice Address - Country:US
Practice Address - Phone:203-293-3089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4658101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health