Healthcare Provider Details
I. General information
NPI: 1962911396
Provider Name (Legal Business Name): KAREN L HUBBARD LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/28/2017
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
75 GENESEE STREET
ROCHESTER NY
14611-3201
US
IV. Provider business mailing address
100 KINGS HWY S
ROCHESTER NY
14617-5504
US
V. Phone/Fax
- Phone: 585-368-3490
- Fax: 585-368-3748
- Phone: 585-922-5462
- Fax: 585-922-1011
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 007669-1 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: