Doctor Name: | ROBAN KUBIC |
NPI Number: | 1013153667 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | LPC-1995 |
Business Practice Address: | 1845 S Dobson Rd Suite 104 Mesa, AZ - 852025661 |
Business Phone Number: | 4804031651 |
Business Fax Number: | 4808743767 |
Mailing Address: | 3801 N Miller Rd, SCOTTSDALE |
State: | AZ |
Postal Code: | 852514511 |
Phone Number: | 4804031651 |
Fax Number: | 4808743767 |
NPI Enumeration Date: | 01/04/2009 |
NPI Last Update Date: | 01/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC-1995 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |