person
Mr. Gary Lee Hubbard, MS,LCPC,LPC
Mental Health Counselor in Rockford, Illinois
NPI 1508956947

Gary Lee Hubbard is a Mental Health Counselor based in Rockford, IL and is specialized in Mental Health. Gary Lee Hubbard practices in Rockford, IL and has the professional credentials of MS,LCPC,LPC. The NPI Number for Gary Lee Hubbard is 1508956947 and holds a License No. 3294-125 (Illinois).

The current practice location address for Gary Lee Hubbard is 5182 Crofton Dr, Rockford, IL and can be reached out via phone at 815-877-2882 and via fax at 815-877-8912. You can also correspond with Gary Lee Hubbard through the mailing address at 5182 CROFTON DR, ROCKFORD, IL - 61114-5424 (mailing address contact number: 815-877-2882).

Location: 5182 Crofton Dr, Rockford, IL, 61114-5424
person
Provider Profile Details
NPI Number
1508956947
Provider Name
Gary Lee Hubbard
Credential
MS,LCPC,LPC
Provider Entity Type
Individual
Gender
Male
Address
5182 Crofton Dr, Rockford, IL, 61114-5424
Phone Number
815-877-2882
Fax Number
815-877-8912
Provider Enumeration Date
10/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0010122558 01 IL BCBS PROVIDER #
025896000-19412277 01 IL MAGELLAN PROVIDER #
359327 01 CA MANAGED HEALTH NETWORK PI
institution
Provider Business Practice Location Address Details
Address
5182 Crofton Dr
City
State
Zip
61114-5424
Phone Number
815-877-2882
Fax Number
815-877-8912
person
Provider Business Mailing Address Details
Address
5182 Crofton Dr
City
State
Zip
61114-5424
Phone Number
815-877-2882
Fax Number
815-877-8912
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
3294-125 (Wisconsin)
Definition
Definition to come...
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