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Provider Information for 1528767597


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ERIKA LYNNE HUBER LPC


Sex: Female

NPI: 1528767597
Last Updated: 2023-03-10
Certification Date: 2023-03-10

Details

NameValue
NPI1528767597
Enumeration Date2023-02-28
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address PO BOX 188
MARANA, AZ 85653-0188
United States

Phone: 520-616-1445 | Fax:
 
Primary Practice Address 5224 W DOVE CENTRE RD
MARANA, AZ 85658-5063
United States

Phone: 520-616-1445 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalAZLPC-21879