Individual
MELISSA ANN HOBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
12266 STATE ROUTE 5, ASHLAND, KY 41102-8099
(606) 928-2881
Mailing address
1118 GREEN ACRES DR, RUSSELL, KY 41169-1067
(606) 371-2011
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000374189
OH
Other
Enumeration date
07/31/2020
Last updated
07/31/2020
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