Provider Demographics
NPI:1497847115
Name:HABURAY, CAROL K (LPCC-S)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:K
Last Name:HABURAY
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:
Other - Last Name:KUBANCIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:210 E MILLTOWN RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-1246
Mailing Address - Country:US
Mailing Address - Phone:330-345-0955
Mailing Address - Fax:330-345-3420
Practice Address - Street 1:210 E MILLTOWN RD
Practice Address - Street 2:SUITE B
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-1246
Practice Address - Country:US
Practice Address - Phone:330-345-3418
Practice Address - Fax:330-345-3420
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0000833101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health