JOSE ANTONIO HABRE


Address: 6401 S 16th St # 17, Phoenix, AZ 85042-4417
Phone: (602) 434-8457

JOSE ANTONIO HABRE (NPI# 1619498367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619498367
Entity Type Individual
Full Name JOSE ANTONIO HABRE
Credential LISAC
Practice Address 6401 S 16th St # 17
Phoenix
AZ 85042-4417
Practice Telephone (602) 434-8457
Mailing Telephone 6024348457
Enumeration Date 2017-07-03
Last Update Date 2017-07-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
LISAC-0370 AZ Behavioral Health & Social Service Providers

Office Location

Street Address 6401 S 16TH ST # 17
City PHOENIX
State AZ
Zip Code 85042-4417

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104012228 Stuart M. Silverman Psychiatry & Neurology 6401 S 16th St # 17, Phoenix, AZ 85042-4417 2007-09-21
1215472618 Another Level of Community Services,llc Counselor 6401 S 16th St # 17, Phoenix, AZ 85042-4417 2016-12-21

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1639799356 Harbor Health Counselor 3213 S 66th Ave, Phoenix, AZ 85043-1922 2020-04-22
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Competitor

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City PHOENIX
Zip Code 85042

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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