Individual
MS. TAMALA S. HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
3070 RASMUSSEN RD, PARK CITY, UT 84098-5486
(435) 640-4565
Mailing address
3070 RASMUSSEN RD, PARK CITY, UT 84098-5486
(435) 640-4565
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7395235-6004
UT
Other
Enumeration date
12/20/2006
Last updated
04/02/2014
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