Individual
LATASHA NICOLE HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
233 STONERIDGE ST, LYNCHBURG, VA 24501-5445
(434) 942-7418
Mailing address
233 STONERIDGE ST, LYNCHBURG, VA 24501-5445
(434) 942-7418
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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