Individual
MRS. STACEY A HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PEER RECOVERY
Contact information
Practice address
700 BEAUMONT AVE, BALTIMORE, MD 21212-4312
(410) 622-2442
Mailing address
700 BEAUMONT AVE, BALTIMORE, MD 21212-4312
(410) 622-2442
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
PR0947
MD
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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