Provider Demographics
NPI:1396846606
Name:HUBER, HELEN L (MA)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:L
Last Name:HUBER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 N GRAND AVE
Mailing Address - Street 2:SUITE 212
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91791-1752
Mailing Address - Country:US
Mailing Address - Phone:626-919-3154
Mailing Address - Fax:
Practice Address - Street 1:150 N GRAND AVE
Practice Address - Street 2:SUITE 212
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91791-1752
Practice Address - Country:US
Practice Address - Phone:626-919-3154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 13461106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMFT 13461OtherLICENSE