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General NPI Number Information
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NPI Number | 1497127716
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Entity Type | Organization
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Legal Business Name | HUBER COUNSELING, LLC
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Dates
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Enumeration Date | 10/26/2015
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Last Update Date | 10/26/2015
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Provider Practice Location Address
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Address Line | 1591 WEST CENTRE AVE SUITE 102
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City | PORTAGE
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State | MI
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Zip | 49024
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Country | US
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Telephone | 269-350-4686
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Fax |
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Provider Business Mailing Address
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Address Line | 4900 OLDE FOREST DRIVE
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City | KALAMAZOO
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State | MI
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Zip | 49009
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Country | US
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Telephone | 269-350-4686
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Fax |
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Authorized Official
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Title or Position | PROFESSIONAL COUNSELOR
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Name | MRS. HEATHER LYNN HUBER
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Credential | MA, LLPC
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Telephone | 269-350-4686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401012199
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License Number State | MI
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