Individual
LESLIE HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10 MILL LN, FARMINGTON, CT 06032-2217
(203) 685-4767
Mailing address
10 MILL LN, FARMINGTON, CT 06032-2217
(203) 685-4767
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
101YS0200X
School Counselor
—
—
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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