Healthcare Provider Details
I. General information
NPI: 1851777361
Provider Name (Legal Business Name): SCOTT HUHN CADC-CAS
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/06/2015
Last Update Date: 08/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5400 ALDRIN CT
BAKERSFIELD CA
93313-2103
US
IV. Provider business mailing address
PO BOX 81414
BAKERSFIELD CA
93380-1414
US
V. Phone/Fax
- Phone: 661-396-7300
- Fax: 661-396-7302
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | C11051214 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: