Provider Demographics
NPI:1851594311
Name:HUBER, DEBORAH A (LCPC)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:A
Last Name:HUBER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7127 HARFORD RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-7705
Mailing Address - Country:US
Mailing Address - Phone:443-850-0308
Mailing Address - Fax:
Practice Address - Street 1:7127 HARFORD RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21234-7705
Practice Address - Country:US
Practice Address - Phone:410-248-0257
Practice Address - Fax:410-248-2237
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC1475101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD408793300Medicaid