Individual
MARY ELLEN HUBBARD
Active
Individual
MARY ELLEN HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2000172219
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
155602
BLUE CROSS
MO
01
—
451501
HEALTHLINK
MO
Enumeration date
02/01/2006
Last updated
07/13/2026
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