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NPI Code Detail

MEDICARE: MRS. DIANNE HUITT QP,CSAC,NCCPSS

MEDICARE:  MRS. DIANNE  HUITT  QP,CSAC,NCCPSS
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
1101YA0400XAddiction (Substance Use Disorder) Counselor2967NC

General Provider Information

NPI Number : 1164930293
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DIANNE HUITT QP,CSAC,NCCPSS
Provider Business Mailing Address
First Line : 2101 TWIN AVE
Second Line :
City : GASTONIA
State : NC
Zip : 28052-1359
Country : US
Telephone Number : 704-777-4335
Fax Number : 980-251-1088
Provider Business Practice Location Address
First Line : 176 W FRANKLIN BLVD
Second Line :
City : GASTONIA
State : NC
Zip : 28052-4107
Country : US
Telephone Number : 980-989-3062
Fax Number : 980-251-1088
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2018
Last Update Date : 01/10/2018

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Directions to “ MRS. DIANNE HUITT QP,CSAC,NCCPSS” Practice Location

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