Healthcare Provider Details
I. General information
NPI: 1962561308
Provider Name (Legal Business Name): MJ HUGGARD INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/08/2006
Last Update Date: 02/26/2024
Certification Date: 02/22/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
527 LAKE ELMO DR
BILLINGS MT
59105-3051
US
IV. Provider business mailing address
1553 PEONY DR
BILLINGS MT
59105-4862
US
V. Phone/Fax
- Phone: 406-208-3255
- Fax:
- Phone: 406-208-3255
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHAEL
J
HUGGARD
Title or Position: LCPC
Credential:
Phone: 406-208-3255