Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DANIEL RUSEBORN, LMFT, LMHC, CSAC
Active Sole ProprietorAddiction (Substance Use Disorder) Counselor · TRIPLER ARMY MEDICAL CENTER, HI
Registration Details
- NPI Number
- 1467966838
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 21, 2017 (8.417182062059 yrs)
- Last Updated
- Sep 14, 2021
- Licenses
-
LMHC363 (HI)MFT-569 (HI)CSAC1715-12 (HI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 JARRETT WHITE RDTRIPLER ARMY MEDICAL CENTER, HI, 968595001Browse HI providers · Browse ZIP 96859
- Phone
- 8084331389
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Marriage & Family Therapist
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.