Individual provider · Type 1 NPI

Carissa Dee Rubottom

Mental Health Counselor · Hays, KS

NPI number 1477677664 Active

Practice location

208 E 7th St
Hays, KS 67601-4199

Mailing address

3075 P Rd
Woodston, KS 67675-9057

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X13093 (NE)
Physical Therapist 225100000X1093 (WY)
Physical Therapist 225100000X11-07480 (KS)
Mental Health Counselor Primary 101YM0800X04535 (KS)
Physical Therapist 225100000X2500 (NE)

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About NPI 1477677664

Carissa Dee Rubottom's National Provider Identifier is 1477677664, issued on Mar 16, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hays, KS. The record was last updated on May 30, 2025.