Huddleston, Jennifer M

Huddleston, Jennifer M is an sole proprietor health care provider with primary practice located at 165 Bradford Sq Ste D , Fayetteville GA 30215-1960. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Huddleston, Jennifer M can be contacted via phone (678) 410-6874.

Contact Information

Primary practice address
165 Bradford Sq Ste D Fayetteville GA 30215-1960
Phone: (678) 410-6874
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X APC001502 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC005784 Georgia

Profile Details

NPI number 1285756668
LBN Legal business name Huddleston, Jennifer M
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2007
Last updated Jul 17th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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