Healthcare Provider Details

I. General information

NPI: 1780419119
Provider Name (Legal Business Name): CHRISTOPHER SCOTT HUFFMAN LCAS-A
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2024
Last Update Date: 09/05/2024
Certification Date: 09/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

929 15TH ST NE STE 100
HICKORY NC
28601-4162
US

IV. Provider business mailing address

4330 VIOLA SIPE DR
CONOVER NC
28613-8839
US

V. Phone/Fax

Practice location:
  • Phone: 828-327-6026
  • Fax:
Mailing address:
  • Phone: 828-327-6026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLCAS-30123
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: