Individual
MS. JACQUELINE R HUBKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CEAP, LPC
Contact information
Practice address
7033 SW MACADAM AVE STE 104, PORTLAND, OR 97219-2371
(503) 310-7435
Mailing address
7033 SW MACADAM AVE STE 104, PORTLAND, OR 97219-2371
(503) 310-7435
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1253
OR
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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