Huberty, David

Huberty, David is an individual health care provider with primary practice located at 3100 W Lake St Suite 210, Minneapolis MN 55416-4527. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Huberty, David can be contacted via phone (612) 925-6033.

Contact Information

Primary practice address
3100 W Lake St Suite 210 Minneapolis MN 55416-4527
Phone: (612) 925-6033
Fax: (612) 925-8496
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 300460 Minnesota
Behavioral Health & Social Service Providers / Clinical 1041C0700X 227 Minnesota
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 305 Minnesota

Profile Details

NPI number 1407915812
LBN Legal business name Huberty, David
Credentials LICSW, LMFT, ADC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407915812 NPPES
Minnesota Other 6264238 MEDICA CHOICE
Minnesota Other 10423C154 MEDICA CHOICE
Minnesota Other 94380 MEDICA CHOICE
Minnesota Other 7H907HU MEDICA CHOICE
Minnesota Other HP19960 MEDICA CHOICE

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