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NPI Code Detail

MEDICARE: KAREN HUCKABY MA, LMFT

MEDICARE: KAREN HUCKABY MA, LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist116059CA

General Provider Information

NPI Number : 1568005551
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN HUCKABY MA, LMFT
Provider Business Mailing Address
First Line : 2001 N VAN NESS BLVD
Second Line :
City : FRESNO
State : CA
Zip : 93704-6014
Country : US
Telephone Number : 559-201-8680
Fax Number :
Provider Business Practice Location Address
First Line : 2001 N VAN NESS BLVD
Second Line :
City : FRESNO
State : CA
Zip : 93704-6014
Country : US
Telephone Number : 559-201-8680
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2019
Last Update Date : 02/13/2023

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