Individual
RAYMOND WINSTON HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1010 E WEST MAPLE RD STE 100, WALLED LAKE, MI 48390-3571
(248) 313-2900
Mailing address
1010 E WEST MAPLE RD STE 100, WALLED LAKE, MI 48390-3571
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
WA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/10/2018
Last updated
02/05/2025
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