SHANTIL RENEA HUBBARD

LYNCHBURG, VA
NPI1942802152
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  LCAS-26865)
Enumeration Date2020-11-12
Last Update Date2020-11-12
Business Address
Ms. SHANTIL RENEA HUBBARD MA,QP, LCAS-A
2821 EASTBROOK RD
LYNCHBURG, VA 24501-7701
Phone number: 434-258-4136
Mailing Address
Ms. SHANTIL RENEA HUBBARD MA,QP, LCAS-A
2505 COURT DR
GASTONIA, NC 28054-2140
Phone number: 704-842-6359