| Doctor Name: | MS. RUTH E RUBIN |
| NPI Number: | 1184626657 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, MED, LADC |
| License Number: | 000217 |
| Business Practice Address: | 1091 Hospital Dr St Johnsbury, VT - 058199242 |
| Business Phone Number: | 9027488920 |
| Business Fax Number: | 8027489536 |
| Mailing Address: | 1301 Morrill Rd, DANVILLE |
| State: | VT |
| Postal Code: | 058289301 |
| Phone Number: | 8027489536 |
| Fax Number: | |
| NPI Enumeration Date: | 08/12/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 000217 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |