Provider Demographics
NPI:1770949182
Name:RUBIO, NADINE (MFTI)
Entity type:Individual
Prefix:
First Name:NADINE
Middle Name:
Last Name:RUBIO
Suffix:
Gender:F
Credentials:MFTI
Other - Prefix:
Other - First Name:NADINE
Other - Middle Name:
Other - Last Name:RUBIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFTI
Mailing Address - Street 1:16823 ARROW BLVD
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92335-3803
Mailing Address - Country:US
Mailing Address - Phone:909-355-3888
Mailing Address - Fax:
Practice Address - Street 1:16823 ARROW BLVD
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92335-3803
Practice Address - Country:US
Practice Address - Phone:909-355-3888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-14
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist