Healthcare Provider Details

I. General information

NPI: 1386269322
Provider Name (Legal Business Name): PATRICIA J HUFF LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: PATRICIA J SCHRYER LLPC

II. Dates (important events)

Enumeration Date: 06/16/2020
Last Update Date: 06/16/2020
Certification Date: 06/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 1ST ST
JACKSON MI
49201-2102
US

IV. Provider business mailing address

4144 MULBERRY CIR
JACKSON MI
49201-8173
US

V. Phone/Fax

Practice location:
  • Phone: 517-998-4673
  • Fax:
Mailing address:
  • Phone: 517-945-4512
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401010539
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: