Individual
JONATHAN BROOKS HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
300 MEDPARK DRIVE, SOMERSET, KY 42503
(606) 676-0786
Mailing address
300 MEDPARK DRIVE, SOMERSET, KY 42503
(606) 676-0786
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
253500
KY
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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