Individual
MR. MICHAEL GENE HUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
THAMA CADCIII
Contact information
Practice address
3425 SUPERIOR AVE, SHEBOYGAN, WI 53081
(920) 458-5557
(920) 458-2692
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2062-125
WI
101YM0800X
Mental Health Counselor
Primary
2062-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42194800
—
WI
Enumeration date
08/16/2006
Last updated
03/14/2024
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