Individual
MS. MARY BETH HUBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
820 PASEO DE PERALTA, SANTA FE, NM 87501-2233
(505) 986-9633
(505) 820-1209
Mailing address
821 1/2 NINITA STREET, SANTA FE, NM 87504
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
005712
NM
101YP2500X
Professional Counselor
Primary
4182
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000B6003
—
NM
Enumeration date
07/10/2006
Last updated
02/17/2014
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