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Blaine Evan Hubbard, LPC,LMFT
Marriage & Family Therapist in Siloam Springs, Arkansas
NPI 1578592812

Blaine Evan Hubbard is a Marriage & Family Therapist based in Springdale, AR. Blaine Evan Hubbard practices in Siloam Springs, AR and has the professional credentials of LPC,LMFT. The NPI Number for Blaine Evan Hubbard is 1578592812 and holds a License No. P0412055 (Arkansas).

The current practice location address for Blaine Evan Hubbard is 827 W Harvard St, Siloam Springs, AR and can be reached out via phone at 479-549-3121 and via fax at 479-750-4843. You can also correspond with Blaine Evan Hubbard through the mailing address at 2400 S 48TH ST, SPRINGDALE, AR - 72762-6683 (mailing address contact number: 479-750-2020).

Location: 827 W Harvard St, Siloam Springs, AR, 72762-6683
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578592812
Provider Name
Blaine Evan Hubbard
Credential
LPC,LMFT
Provider Entity Type
Individual
Gender
Male
Address
827 W Harvard St, Siloam Springs, AR, 72762-6683
Phone Number
479-549-3121
Fax Number
479-750-4843
Provider Enumeration Date
06/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5Y327 01 AR BLUE SHIELD PROVIDER #
institution
Provider Business Practice Location Address Details
Address
827 W Harvard St
City
Siloam Springs
State
Arkansas
Zip
72761-4013
Phone Number
479-549-3121
Fax Number
479-750-4843
person
Provider Business Mailing Address Details
Address
827 W Harvard St
City
Siloam Springs
State
Arkansas
Zip
72761-4013
Phone Number
479-549-3121
Fax Number
479-750-4843
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
M0502004 (Arkansas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
P0412055 (Arkansas)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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