Individual provider · Type 1 NPI
Shantil Renea Hubbard, MA, QP, LCAS-A
Addiction (Substance Use Disorder) Counselor · Lynchburg, VA
NPI number
1942802152
Active
Practice location
2821 Eastbrook Rd
Lynchburg, VA 24501-7701
Mailing address
2505 Court Dr
Gastonia, NC 28054-2140
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LCAS-26865 (NC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1942802152
Shantil Renea Hubbard, MA, QP, LCAS-A's National Provider Identifier is 1942802152, issued on Nov 12, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lynchburg, VA. The record was last updated on Nov 12, 2020.