Provider Demographics
NPI:1740472240
Name:RUBINSTEIN, NOAH (MA, LMFT, LMHC)
Entity type:Individual
Prefix:MR
First Name:NOAH
Middle Name:
Last Name:RUBINSTEIN
Suffix:
Gender:M
Credentials:MA, LMFT, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 W 34TH AVE STE 501
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-3969
Mailing Address - Country:US
Mailing Address - Phone:907-222-1308
Mailing Address - Fax:
Practice Address - Street 1:200 W 34TH AVE STE 501
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-3969
Practice Address - Country:US
Practice Address - Phone:907-222-1308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-17
Last Update Date:2007-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00006863101YM0800X
AK229106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health