Provider Information for 1942607387
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CONNIE HOBBS LMHC, CAP, BC-TMH
Sex: Female
NPI: 1942607387
Last Updated: 2021-05-03
Certification Date: 2021-05-03
Certification Date: 2021-05-03
Details
| Name | Value | ||||||||||||||||||||
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| NPI | 1942607387 | ||||||||||||||||||||
| Enumeration Date | 2014-12-01 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | 210 BOSARVEY DR ORMOND BEACH, FL 32176-6625 United States Phone: 386-295-4420 | Fax: | ||||||||||||||||||||
| Primary Practice Address | 210 BOSARVEY DR ORMOND BEACH, FL 32176-6625 United States Phone: 386-295-4420 | Fax: | ||||||||||||||||||||
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