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NPI Code Detail

MEDICARE: JANICE LAVONNE HUGGINS MFT

MEDICARE: JANICE LAVONNE HUGGINS MFT
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
1106H00000XMarriage & Family TherapistMFC41830CA

General Provider Information

NPI Number : 1144277955
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANICE LAVONNE HUGGINS MFT
Provider Business Mailing Address
First Line : PO BOX 609001
Second Line :
City : SAN DIEGO
State : CA
Zip : 92160-9001
Country : US
Telephone Number : 619-528-4600
Fax Number : 619-528-4625
Provider Business Practice Location Address
First Line : 1550 HOTEL CIR N STE 270
Second Line : STE# 270
City : SAN DIEGO
State : CA
Zip : 92108-2908
Country : US
Telephone Number : 619-688-5855
Fax Number : 619-291-3310
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2006
Last Update Date : 12/29/2010

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Directions to “ JANICE LAVONNE HUGGINS MFT” Practice Location

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