Provider Demographics
NPI:1982404067
Name:HUBBARD, JAMESA LEIGH
Entity type:Individual
Prefix:MS
First Name:JAMESA
Middle Name:LEIGH
Last Name:HUBBARD
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4423 DEBORAH CT APT 1
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-4325
Mailing Address - Country:US
Mailing Address - Phone:757-292-7019
Mailing Address - Fax:
Practice Address - Street 1:6330 NEWTOWN RD STE 625
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-4807
Practice Address - Country:US
Practice Address - Phone:757-292-7019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0730000786101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health