Healthcare Provider Details

I. General information

NPI: 1871986562
Provider Name (Legal Business Name): JAMES PAUL HUGGINS III LCPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/05/2015
Last Update Date: 07/03/2022
Certification Date: 07/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 CHEVY CHASE DR APT 303
BETHESDA MD
20815-6451
US

IV. Provider business mailing address

4800 CHEVY CHASE DR APT 303
BETHESDA MD
20815-6451
US

V. Phone/Fax

Practice location:
  • Phone: 678-733-4595
  • Fax:
Mailing address:
  • Phone: 678-733-4595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLC10781
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: