Doctor Name: | AMY J HUBBARD |
NPI Number: | 1609112291 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | C.0600617 |
Business Practice Address: | 1375 Commerce Dr New Lexington, OH - 437649511 |
Business Phone Number: | 7404549766 |
Business Fax Number: | 7405886452 |
Mailing Address: | 1375 Commerce Dr, NEW LEXINGTON |
State: | OH |
Postal Code: | 437649511 |
Phone Number: | 7404549766 |
Fax Number: | 7405886452 |
NPI Enumeration Date: | 12/31/2012 |
NPI Last Update Date: | 02/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | C.0600617 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |