| Patricia Huber, Licensed Clinical Social Worker, Inc | |
|
13001 Seal Beach Blvd Ste 360 Seal Beach CA 90740-2747 | |
| (714) 754-6505 | |
| Not Available |
| Full Name | Patricia Huber, Licensed Clinical Social Worker, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 13001 Seal Beach Blvd Ste 360, Seal Beach, California |
| Authorized Official Name and Position | Patricia Huber (PRESIDENT) |
| Authorized Official Contact | 7147546505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Huber, Licensed Clinical Social Worker, Inc Po Box 334 Seal Beach CA 90740-0334 Ph: (714) 754-6505 | Patricia Huber, Licensed Clinical Social Worker, Inc 13001 Seal Beach Blvd Ste 360 Seal Beach CA 90740-2747 Ph: (714) 754-6505 |
| NPI Number | 1396330668 |
|---|---|
| Provider Enumeration Date | 03/08/2021 |
| Last Update Date | 03/08/2021 |
| Certification Date | 03/08/2021 |
| Medicare PECOS PAC ID | 1658772207 |
|---|---|
| Medicare Enrollment ID | O20210702000800 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396330668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Patricia F Huber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386742609 PECOS PAC ID: 7618967894 Enrollment ID: I20040518000814 |
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