PAUL ROBERT LUBBEN LICDC NPI 1710415047

NPI Information

NPI: 1710415047
Provider Name: PAUL ROBERT LUBBEN, LICDC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
429 FRONT ST
BEREA, OH
ZIP 44017
Phone: (440) 523-8252
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Paul Robert Lubben, LICDC is an addiction (substance use disorder) counselor in Berea, OH. Paul Robert Lubben, LICDC NPI is 1710415047. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

429 FRONT ST
BEREA, OH
ZIP 44017-716
Phone: (440) 523-8252
Fax: (440) 234-2072

The enumeration date for this NPI number is 5/31/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	78148	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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