Provider Demographics
NPI:1235240284
Name:HOBBICK, ANN VIRGINIA (LADC BCCR)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:VIRGINIA
Last Name:HOBBICK
Suffix:
Gender:F
Credentials:LADC BCCR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 WASHINGTON STREET
Mailing Address - Street 2:
Mailing Address - City:ANOKA
Mailing Address - State:MN
Mailing Address - Zip Code:55303
Mailing Address - Country:US
Mailing Address - Phone:763-323-3394
Mailing Address - Fax:
Practice Address - Street 1:7590 LYRIC LANE NE
Practice Address - Street 2:UNITY HOSPTIAL
Practice Address - City:FRIDLEY
Practice Address - State:MN
Practice Address - Zip Code:55432
Practice Address - Country:US
Practice Address - Phone:763-236-4375
Practice Address - Fax:762-236-4370
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2024-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN300771103TA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)