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NPI Code Detail

MEDICARE: REBECCA KATE HUBBARD LPC-IT

MEDICARE:   REBECCA KATE HUBBARD  LPC-IT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor3762

General Provider Information

NPI Number : 1649741844
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA KATE HUBBARD LPC-IT
Provider Business Mailing Address
First Line : 383 WILLIAMSTOWNE STE 101
Second Line :
City : DELAFIELD
State : WI
Zip : 53018-2332
Country : US
Telephone Number : 262-337-9770
Fax Number :
Provider Business Practice Location Address
First Line : 383 WILLIAMSTOWNE STE 101
Second Line :
City : DELAFIELD
State : WI
Zip : 53018-2332
Country : US
Telephone Number : 262-337-9770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2018
Last Update Date : 12/16/2018

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Directions to “ REBECCA KATE HUBBARD LPC-IT” Practice Location

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