Doctor Name: | MRS. INA HUBER |
NPI Number: | 1124115928 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 15626 |
Business Practice Address: | 1000 Westbank Dr Ste 2a West Lake Hills, TX - 787464456 |
Business Phone Number: | 5126262052 |
Business Fax Number: | 5123298909 |
Mailing Address: | 11308 Stormy Ridge Road, AUSTIN |
State: | TX |
Postal Code: | 78739 |
Phone Number: | 5122801775 |
Fax Number: | 5122809947 |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 07/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 15626 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |