Hubbard, Teresa Darlene

Hubbard, Teresa Darlene is an sole proprietor health care provider with primary practice located at 900 8Th St Ste 304 , Wichita Falls TX 76301-6804. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hubbard, Teresa Darlene can be contacted via phone (318) 286-1782.

Contact Information

Primary practice address
900 8Th St Ste 304 Wichita Falls TX 76301-6804
Phone: (318) 286-1782
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C5774 Mississippi
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4295 Louisiana

Profile Details

NPI number 1336247576
LBN Legal business name Hubbard, Teresa Darlene
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Jan 28th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336247576 NPPES
Texas MEDICAID 2061152

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