Provider Demographics
NPI:1750647574
Name:HOBLER, PETER K (BSW/QP SACI)
Entity Type:Individual
Prefix:MR
First Name:PETER
Middle Name:K
Last Name:HOBLER
Suffix:
Gender:M
Credentials:BSW/QP SACI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2902 A & B N. HERITAGE STREET
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28501
Mailing Address - Country:US
Mailing Address - Phone:252-520-6740
Mailing Address - Fax:910-791-8490
Practice Address - Street 1:2902 N. HERITAGE STREET
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28501
Practice Address - Country:US
Practice Address - Phone:252-520-6740
Practice Address - Fax:910-791-8490
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-05
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health