| Doctor Name: | MARY BETH HAUBERT |
| NPI Number: | 1124440433 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCC |
| License Number: | C1100228 |
| Business Practice Address: | 76 Ashwood Dr Tiffin, OH - 448831908 |
| Business Phone Number: | 4194489440 |
| Business Fax Number: | 4194485155 |
| Mailing Address: | 1925 Hayes Ave, SANDUSKY |
| State: | OH |
| Postal Code: | 448704737 |
| Phone Number: | 4195575177 |
| Fax Number: | 4195575179 |
| NPI Enumeration Date: | 01/07/2014 |
| NPI Last Update Date: | 03/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | C1100228 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |