Most Relevant Information
Provider Data
| NPI Number: | 1003361528 |
| Provider Name: | LATASHA NICOLE HUBBARD |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/25/2016 |
| Last Updated: | 08/25/2016 |
Provider Practice Location
233 STONERIDGE ST
LYNCHBURG
VA
245015445
Practice Location Phone/Fax
| Phone: | 4349427418 |
| Fax: |
Provider Mailing Location
233 STONERIDGE ST
LYNCHBURG
VA
245015445
Provider Mailing Phone/Fax
| Phone: | 4349427418 |
| Fax: |