Individual
KATELYN ELIZABETH HUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10535 165TH ST W, LAKEVILLE, MN 55044-5729
(952) 435-0022
(952) 435-0095
Mailing address
10535 165TH ST W, LAKEVILLE, MN 55044-5729
(952) 435-0022
(952) 435-0095
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4633
MN
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588993091
—
MN
Enumeration date
02/08/2021
Last updated
06/10/2025
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