Provider Demographics
NPI:1124452388
Name:HUBBARD, REBECCA LEIGH (PHD, LPC, CFLE)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:LEIGH
Last Name:HUBBARD
Suffix:
Gender:F
Credentials:PHD, LPC, CFLE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3631 S ELM PL
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74011-1856
Mailing Address - Country:US
Mailing Address - Phone:918-921-5173
Mailing Address - Fax:
Practice Address - Street 1:3631 S ELM PL
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74011-1856
Practice Address - Country:US
Practice Address - Phone:918-921-5173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-23
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK10845101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional