MEDICARE: ELIZABETH HUA LPCC

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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1275009615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH HUA LPCC

Provider Business Mailing Address
First Line	:	1050 UNIVERSITY AVE # 31
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-3359
Country	:	US
Telephone Number	:	415-672-9629
Fax Number	:

Provider Business Practice Location Address
First Line	:	2103 S EL CAMINO REAL STE 206
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92054-6281
Country	:	US
Telephone Number	:	442-245-7097
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2018
Last Update Date	:	05/23/2023

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Directions to “ ELIZABETH HUA LPCC” Practice Location

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