| NPI | 1649658600 |
|---|---|
| Other Name | CRYSTAL HUBBARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60132810) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2016-08-12 |