Individual
MARALEE HUBBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT, LCPC
Contact information
Practice address
1740 N MILWAUKEE ST STE B, BOISE, ID 83704-7107
(208) 577-8565
Mailing address
1740 N MILWAUKEE ST STE B, BOISE, ID 83704-7107
(208) 350-1616
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC2918
ID
101YP2500X
Professional Counselor
2918
ID
106H00000X
Marriage & Family Therapist
3016
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10140940
REGENCE BLUE SHIELD OF ID
ID
01
—
Q4228
BLUE CROSS OF IDAHO
ID
Enumeration date
02/21/2007
Last updated
01/30/2019
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