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NPI Code Detail

MEDICARE: MR. JOHN HUBERT

MEDICARE: MR. JOHN HUBERT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1144344474
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN HUBERT
Provider Business Mailing Address
First Line : PO BOX 477
Second Line :
City : COOL
State : CA
Zip : 95614-0477
Country : US
Telephone Number : 530-889-7272
Fax Number : 530-889-7293
Provider Business Practice Location Address
First Line : 11512 B AVE
Second Line : ADULT SYSTEM OF CARE
City : AUBURN
State : CA
Zip : 95603-2605
Country : US
Telephone Number : 530-889-7272
Fax Number : 530-889-7293
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2007
Last Update Date : 09/11/2025

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