Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 6401011900 | MI |
NPI | 1003238247 |
---|---|
Provider Name | Sarah Hubbell |
First Address | Cadillac, MI 49601-2540 |
Second Address | Cadillac, MI 49601-2540 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2014 |
Last Update Date | 07/01/2014 |