Provider Demographics
NPI:1891208807
Name:HUBBARD, JOANNE E
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:E
Last Name:HUBBARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8555 FAIRMOUNT DRIVE
Mailing Address - Street 2:A-106
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-1113
Mailing Address - Country:US
Mailing Address - Phone:720-333-7001
Mailing Address - Fax:
Practice Address - Street 1:8555 FAIRMOUNT DRIVE
Practice Address - Street 2:A-106
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80247-1113
Practice Address - Country:US
Practice Address - Phone:720-333-7001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-13
Last Update Date:2017-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor