Provider Demographics
NPI:1437445954
Name:HUBBELL, JARET (LPC)
Entity Type:Individual
Prefix:
First Name:JARET
Middle Name:
Last Name:HUBBELL
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 MAIN PROJECT RD
Mailing Address - Street 2:
Mailing Address - City:SCHRIEVER
Mailing Address - State:LA
Mailing Address - Zip Code:70395-4416
Mailing Address - Country:US
Mailing Address - Phone:985-859-5865
Mailing Address - Fax:
Practice Address - Street 1:206 GREEN ST
Practice Address - Street 2:206
Practice Address - City:THIBODAUX
Practice Address - State:LA
Practice Address - Zip Code:70301-3034
Practice Address - Country:US
Practice Address - Phone:985-859-5865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-23
Last Update Date:2013-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3975101Y00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health