Healthcare Provider Details

I. General information

NPI: 1710010194
Provider Name (Legal Business Name): HENRY JOHN HUOT ED.S., LPC, NCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1629 K ST NW SUITE 300
WASHINGTON DC
20006-1602
US

IV. Provider business mailing address

1016 S WAYNE ST UNIT 310
ARLINGTON VA
22204-4433
US

V. Phone/Fax

Practice location:
  • Phone: 202-276-2480
  • Fax: 703-521-4932
Mailing address:
  • Phone: 202-276-2480
  • Fax: 703-521-4932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPRC843
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: