Provider Demographics
NPI:1750458337
Name:HUBBARD, YEVGENIYA (MFT)
Entity Type:Individual
Prefix:MRS
First Name:YEVGENIYA
Middle Name:
Last Name:HUBBARD
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MRS
Other - First Name:YEVGENIYA
Other - Middle Name:
Other - Last Name:MARVAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFT
Mailing Address - Street 1:2709 ALCATRAZ AVENUE
Mailing Address - Street 2:
Mailing Address - City:BERKLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-2705
Mailing Address - Country:US
Mailing Address - Phone:510-299-1759
Mailing Address - Fax:
Practice Address - Street 1:2709 ALCATRAZ AVENUE
Practice Address - Street 2:
Practice Address - City:BERKLEY
Practice Address - State:CA
Practice Address - Zip Code:94705-2705
Practice Address - Country:US
Practice Address - Phone:510-299-1759
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist