Provider Demographics
NPI:1497336390
Name:HABLE, ALLISON WINTER (LPCC)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:WINTER
Last Name:HABLE
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:ALLIE
Other - Middle Name:
Other - Last Name:HABLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPCC
Mailing Address - Street 1:313 WASHINGTON AVE S APT 1312
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55415-1469
Mailing Address - Country:US
Mailing Address - Phone:515-681-3935
Mailing Address - Fax:
Practice Address - Street 1:3333 UNIVERSITY AVE SE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55414-3325
Practice Address - Country:US
Practice Address - Phone:612-767-7222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC02794101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional