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Individual

MRS. ELIZABETH ANN HUBBARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRC, PLPC

Contact information

Practice address
1023 EXECUTIVE PARKWAY DR, SUITE 8, SAINT LOUIS, MO 63141-6323
(314) 852-3941
(314) 434-2331
Mailing address
1023 EXECUTIVE PARKWAY DR, SUITE 8, SAINT LOUIS, MO 63141-6323
(314) 852-3941
(314) 434-2331

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
2007020132
MO
101YM0800X
Mental Health Counselor
2007020132
MO
101YP2500X
Professional Counselor
Primary
2007020132
MO

Other

Enumeration date
10/16/2009
Last updated
10/16/2009
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