Individual
KIMBERLY J HUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.E.D., LMFTA
Contact information
Practice address
2200 LAKE AVE, SUITE 260, FORT WAYNE, IN 46805-5397
(260) 424-0411
Mailing address
16143 GEMMA PASS, HUNTERTOWN, IN 46748-9146
(260) 715-0536
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
85000212A
IN
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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