Individual provider · Type 1 NPI
Daniel Ruseborn, LMFT, LMHC, CSAC
Addiction (Substance Use Disorder) Counselor · Tripler Army Medical Center, HI
NPI number
1467966838
Active
Practice location
1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | LMHC363 (HI) |
| Marriage & Family Therapist | 106H00000X | MFT-569 (HI) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CSAC1715-12 (HI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1467966838
Daniel Ruseborn, LMFT, LMHC, CSAC's National Provider Identifier is 1467966838, issued on Nov 21, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tripler Army Medical Center, HI. The record was last updated on Sep 14, 2021.