Provider Demographics
NPI:1508141466
Name:ERIK HUBER COUNSELING SERVICES
Entity Type:Organization
Organization Name:ERIK HUBER COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIK
Authorized Official - Middle Name:MATTHIAS
Authorized Official - Last Name:HUBER
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:760-529-2582
Mailing Address - Street 1:5825 AVENIDA ENCINAS
Mailing Address - Street 2:SUITE 107
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-4401
Mailing Address - Country:US
Mailing Address - Phone:760-529-2582
Mailing Address - Fax:760-730-7505
Practice Address - Street 1:5825 AVENIDA ENCINAS
Practice Address - Street 2:SUITE 107
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-4401
Practice Address - Country:US
Practice Address - Phone:760-529-2582
Practice Address - Fax:760-730-7505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-11
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 43440251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1205096419OtherPERSONAL NPI