CLETIS HUBBARD

FORT WORTH, TX
NPI1871097634
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-03-19
Last Update Date2018-03-19
Business Address
CLETIS HUBBARD
6733 CAMP BOWIE BLVD
FORT WORTH, TX 76116-7112
Phone number: 817-386-9180
Mailing Address
CLETIS HUBBARD
55 BEATTIE PL STE 810
GREENVILLE, SC 29601-2191
Phone number: