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NPI Code Detail

MEDICARE: MR. DYLAN HEBERT M.ED., NCC

MEDICARE: MR. DYLAN HEBERT M.ED., NCC
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
1101Y00000XCounselorAL

General Provider Information

NPI Number : 1295446177
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DYLAN HEBERT M.ED., NCC
Provider Business Mailing Address
First Line : 117 HALAL CT
Second Line :
City : AUBURN
State : AL
Zip : 36830-3163
Country : US
Telephone Number : 337-501-7544
Fax Number :
Provider Business Practice Location Address
First Line : 166 N GAY ST
Second Line :
City : AUBURN
State : AL
Zip : 36830-4800
Country : US
Telephone Number : 334-329-6255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2022
Last Update Date : 12/12/2022

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