| Doctor Name: | MS. MARISSA HUBERT |
| NPI Number: | 1003961814 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW, CADC |
| License Number: | 5002 |
| Business Practice Address: | 1401 Spring Bank Dr., Bldg. C, Suite 7 Owensboro, KY - 42303 |
| Business Phone Number: | 8124538543 |
| Business Fax Number: | 2706856510 |
| Mailing Address: | 1401 Spring Bank Dr., Bldg. C, Suite 7, OWENSBORO |
| State: | KY |
| Postal Code: | 42303 |
| Phone Number: | 8124538543 |
| Fax Number: | 2706856510 |
| NPI Enumeration Date: | 01/24/2007 |
| NPI Last Update Date: | 05/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 5002 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |