Healthcare Provider Details

I. General information

NPI: 1932445988
Provider Name (Legal Business Name): HANNAH L HUFFMAN MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HANNAH L WOOD

II. Dates (important events)

Enumeration Date: 12/19/2012
Last Update Date: 07/23/2020
Certification Date: 07/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

551 GRAND AVE STE 203
GRAND JUNCTION CO
81501-2694
US

IV. Provider business mailing address

PO BOX 351
FRUITA CO
81521-0351
US

V. Phone/Fax

Practice location:
  • Phone: 970-541-0603
  • Fax:
Mailing address:
  • Phone: 970-541-0603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0011316
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: