Provider Demographics
NPI:1609099951
Name:HUBBELL, CHRISTINA MARIE (MSW)
Entity Type:Individual
Prefix:MISS
First Name:CHRISTINA
Middle Name:MARIE
Last Name:HUBBELL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MISS
Other - First Name:CHRISSY
Other - Middle Name:MARIE
Other - Last Name:HUBBELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:5300 ANGELES VISTA BLVD
Mailing Address - Street 2:5300 ANGELES VISTA BLVD.
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90043
Mailing Address - Country:US
Mailing Address - Phone:323-295-4555
Mailing Address - Fax:323-295-3021
Practice Address - Street 1:5300 ANGELES VISTA BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90043
Practice Address - Country:US
Practice Address - Phone:323-295-4555
Practice Address - Fax:323-295-3021
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health