Patricia L Hubbard, BA, CSAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0710103404 Issued in VA

Practice address

111 Town Hollow Rd
Cedar Bluff, VA 24609-9622

Phone

(276) 963-3554

Fax

(276) 963-4653

NPI assigned

Mar 17, 2022

Last updated

Mar 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1962150094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 SMITH RIDGE RD",
            "city": "JEWELL RIDGE",
            "state": "VA",
            "postal_code": "246224105",
            "telephone_number": "276-971-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 TOWN HOLLOW RD",
            "city": "CEDAR BLUFF",
            "state": "VA",
            "postal_code": "246099622",
            "telephone_number": "276-963-3554",
            "fax_number": "276-963-4653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "PATRICIA",
        "middle_name": "L",
        "credential": "BA, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710103404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia H Hale, LPC
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• Sandy Jo Hess, R.N.
• Jeani Renee Hodges, BS
• Sandra Kay Horne, LCSW
• Tonya Irene Hurt, BS
• Tracey Lynn Hutchinson
• Brianna Kalyn Jackson, LPC
• Darlene Jackson
• Philip Scott Johnson, PHARMD

• Addiction (Substance Use Disorder) Counselor in Cedar Bluff, VA
• Providers in Cedar Bluff, VA by specialty
• Addiction (Substance Use Disorder) Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.