Provider Demographics
NPI:1255487302
Name:HUBLER, ELAINE M (LPC, CAC III, PC)
Entity Type:Individual
Prefix:MS
First Name:ELAINE
Middle Name:M
Last Name:HUBLER
Suffix:
Gender:F
Credentials:LPC, CAC III, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2140 ACADEMY CIR
Mailing Address - Street 2:SUITE F
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-1690
Mailing Address - Country:US
Mailing Address - Phone:719-570-1225
Mailing Address - Fax:719-570-1331
Practice Address - Street 1:2140 ACADEMY CIR
Practice Address - Street 2:SUITE F
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-1690
Practice Address - Country:US
Practice Address - Phone:719-570-1225
Practice Address - Fax:719-570-1331
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1991101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor