Individual
LISA SHANNON HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, LADAC
Contact information
Practice address
1494 MARION COUNTY 6007, YELLVILLE, AR 72687-8771
(817) 495-8417
Mailing address
1494 MARION COUNTY 6007, YELLVILLE, AR 72687-8771
(817) 495-8417
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2511009
AR
Other
Enumeration date
08/09/2022
Last updated
02/09/2026
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