Individual
JEFFREY HUBBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSCSW
Contact information
Practice address
1122 N TOPEKA ST, WICHITA, KS 67214-2810
(316) 866-2000
(316) 866-2084
Mailing address
11828 W CENTRAL AVE, WICHITA, KS 67212-5187
(314) 482-1860
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4688
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098080A
—
KS
01
—
100098080C
SED WAIVER
KS
05
—
201105440B
—
KS
Enumeration date
11/25/2014
Last updated
12/20/2024
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