Brent Ruebensam's National Provider Identifier (NPI) Details
Brent Ruebensam, , M.A., LPC, ASOTP
NPI: 1528765310
Enumeration Date: 2023-02-13
Last updated: 2023-02-13
Sole Proprietor: YES
Status: active
Postal Address: 2511 63RD ST, LUBBOCK, TX
Phone: 312-560-4874
Primary Practice Address: 2511 63RD ST, LUBBOCK, TX
Practice's phone: 312-560-4874