Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 13448 | AZ |
NPI | 1003127770 |
---|---|
Provider Name | Laura Elma Huber |
First Address | Glendale, AZ 85308-8725 |
Second Address | Glendale, AZ 85308-8725 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2010 |
Last Update Date | 23/08/2013 |