| Tamara Hubbard, Lcpc, Llc | |
|
4160 Il Route 83 Ste 210 Long Grove IL 60047-8034 | |
| (847) 957-7575 | |
| Not Available |
| Full Name | Tamara Hubbard, Lcpc, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4160 Il Route 83 Ste 210, Long Grove, Illinois |
| Authorized Official Name and Position | Tamara Hubbard (OWNER/COUNSELOR) |
| Authorized Official Contact | 8479577575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tamara Hubbard, Lcpc, Llc 4160 Il Route 83 Ste 210 Long Grove IL 60047-8034 Ph: () - | Tamara Hubbard, Lcpc, Llc 4160 Il Route 83 Ste 210 Long Grove IL 60047-8034 Ph: (847) 957-7575 |
| NPI Number | 1316599731 |
|---|---|
| Provider Enumeration Date | 07/16/2019 |
| Last Update Date | 11/08/2022 |
| Certification Date | 11/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316599731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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