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NPI Code Detail

MEDICARE: MRS. EDEN HUSTON M.S.

MEDICARE: MRS. EDEN HUSTON M.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1043400096
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. EDEN HUSTON M.S.
Provider Business Mailing Address
First Line : 37875 JASPER LOWELL RD
Second Line :
City : JASPER
State : OR
Zip : 97438-9751
Country : US
Telephone Number : 541-747-1235
Fax Number : 541-747-4722
Provider Business Practice Location Address
First Line : 37875 JASPER LOWELL RD
Second Line :
City : JASPER
State : OR
Zip : 97438-9751
Country : US
Telephone Number : 541-747-1235
Fax Number : 541-747-4722
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2007
Last Update Date : 07/26/2007

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Directions to “ MRS. EDEN HUSTON M.S.” Practice Location

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