Individual
AMY J HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2550 E FOOTHILL BLVD, PASADENA, CA 91107-3406
(626) 463-1021
Mailing address
2550 E FOOTHILL BLVD, PASADENA, CA 91107-3406
(626) 463-1021
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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