Individual
ALICIA J HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10100 MANOR AVE, CLEVELAND, OH 44104-4938
(216) 314-9532
Mailing address
10100 MANOR AVE, CLEVELAND, OH 44104-4938
(216) 314-9532
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
RP822188
OH
171M00000X
Case Manager/Care Coordinator
—
—
374U00000X
Home Health Aide
Primary
RP822188
OH
Other
Enumeration date
03/21/2022
Last updated
11/30/2023
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