Provider Demographics
NPI:1407225097
Name:HUBER, DEBRA (LPC)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:
Last Name:HUBER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:
Other - Last Name:REIDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:210 WELDON ALY
Mailing Address - Street 2:
Mailing Address - City:MOUNT JOY
Mailing Address - State:PA
Mailing Address - Zip Code:17552-1172
Mailing Address - Country:US
Mailing Address - Phone:717-571-0791
Mailing Address - Fax:
Practice Address - Street 1:4600 E HARRISBURG PIKE
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:PA
Practice Address - Zip Code:17022-9004
Practice Address - Country:US
Practice Address - Phone:717-367-9115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-24
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007773101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional