# THERESA R HUBBARD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497078646
- **Authorized official:** THERESA HUBBARD LCMFT (MEMBER)
- **Authorized official phone:** (816) 591-3006

## Contact information

- **Practice address:** 10 WESTOWNE ST, LIBERTY, MO 64068-1166
- **Practice address phone:** (816) 591-3006
- **Practice address fax:** (816) 407-7706
- **Mailing address:** 10 WESTOWNE ST, LIBERTY, MO 64068-1166
- **Mailing address phone:** (816) 591-3006
- **Mailing address fax:** (816) 407-7706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 2010004313 | MO | Yes |
| 106H00000X | Marriage & Family Therapist | 727 | KS | — |

## Other

- **Enumeration date:** 03/02/2010
- **Last updated:** 03/30/2015