Provider Demographics
NPI:1760023006
Name:HUBBARD, MELANIE JOY (APCC)
Entity Type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:JOY
Last Name:HUBBARD
Suffix:
Gender:F
Credentials:APCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 CORPORATE WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95831-3887
Mailing Address - Country:US
Mailing Address - Phone:916-877-9002
Mailing Address - Fax:
Practice Address - Street 1:1501 CORPORATE WAY STE 200
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95831-3887
Practice Address - Country:US
Practice Address - Phone:916-877-9002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-07
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6459101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health