Individual
STACI HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
3540 S HIGHWAY 27 STE 4, SOMERSET, KY 42501-3124
(606) 679-1815
(606) 451-1631
Mailing address
3540 S HIGHWAY 27 STE 4, SOMERSET, KY 42501-3124
(606) 679-1815
(606) 451-1631
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
175343
KY
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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