Individual
CHRISTINE HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCADC
Contact information
Practice address
80 VALLEY RD APT 2, MONTCLAIR, NJ 07042-2209
(201) 562-9162
Mailing address
80 VALLEY RD APT 2, MONTCLAIR, NJ 07042-2209
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00233300
NJ
101YM0800X
Mental Health Counselor
Primary
44SC05708900
NJ
Other
Enumeration date
09/29/2017
Last updated
09/29/2017
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