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NPI Code Detail

MEDICARE: LANDON HUVLER

MEDICARE: LANDON HUVLER
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.080783OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760988190
Entity Type Code : Individual
Provider Name (Legal Business Name) : LANDON HUVLER
Provider Business Mailing Address
First Line : 113 W GAMBIER ST
Second Line :
City : MOUNT VERNON
State : OH
Zip : 43050-2421
Country : US
Telephone Number : 740-326-9099
Fax Number : 740-326-9099
Provider Business Practice Location Address
First Line : 113 W GAMBIER ST
Second Line :
City : MOUNT VERNON
State : OH
Zip : 43050-2421
Country : US
Telephone Number : 419-747-3322
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2018
Last Update Date : 11/11/2021

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Directions to “ LANDON HUVLER ” Practice Location

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