Individual
MS. DAPHNE L HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDM,LMHC
Contact information
Practice address
9 CONCORD SQ, #2, BOSTON, MA 02118-3185
(617) 266-3464
Mailing address
9 CONCORD SQ, #2, BOSTON, MA 02118-3185
(617) 266-3464
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3172
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3172
LMHC
MA
01
—
409315
TUFTS HEALTH PLAN
MA
01
—
LM0095
BLUE CROSS&BLUESHIELDOFMA
—
01
—
XXXXX6310
UNITED HEALTH
UT
Enumeration date
01/26/2007
Last updated
07/08/2007
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