Provider Demographics
NPI:1740097377
Name:RUBINSTEIN, JASON (MS)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:RUBINSTEIN
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 COMMERCE PARK N STE 13B
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-6959
Mailing Address - Country:US
Mailing Address - Phone:603-606-1233
Mailing Address - Fax:
Practice Address - Street 1:10 COMMERCE PARK N STE 13B
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6959
Practice Address - Country:US
Practice Address - Phone:603-606-1233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health