Most Relevant Information
Provider Data
| NPI Number: | 1003687559 |
| Provider Name: | CHEYENNE DAKOTA HUBBARD LCADC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 288006 |
Most Important Dates
| Enumeration Date: | 01/12/2024 |
| Last Updated: | 01/12/2024 |
Provider Practice Location
1402 BROWNS LN STE A
LOUISVILLE
KY
402074609
Practice Location Phone/Fax
| Phone: | 5028940234 |
| Fax: | 5028949858 |
Provider Mailing Location
10322 PINOAK VIEW DR
LOUISVILLE
KY
402996847
Provider Mailing Phone/Fax
| Phone: | 6062020044 |
| Fax: |