Provider Demographics
NPI:1124467782
Name:DUBNER, RUTH ELIZABETH (MED, LPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:ELIZABETH
Last Name:DUBNER
Suffix:
Gender:F
Credentials:MED, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2950 LAKESIDE DR
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-6445
Mailing Address - Country:US
Mailing Address - Phone:214-679-1116
Mailing Address - Fax:
Practice Address - Street 1:2605 SAGEBRUSH DR
Practice Address - Street 2:SUITE 209
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-2761
Practice Address - Country:US
Practice Address - Phone:214-679-1116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-17
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17323101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional