Healthcare Provider Details

I. General information

NPI: 1669799573
Provider Name (Legal Business Name): WILLIAM BRADFORD HUFFMAN M.A. M.DIV.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2010
Last Update Date: 05/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 CHESTNUT AVE
WAYNESBORO VA
22980-4702
US

IV. Provider business mailing address

300 CHESTNUT AVE
WAYNESBORO VA
22980-4702
US

V. Phone/Fax

Practice location:
  • Phone: 540-943-8722
  • Fax: 540-943-5068
Mailing address:
  • Phone: 540-943-8722
  • Fax: 540-943-5068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: