MEDICARE: KIMBERLY KAY HUFF-HOWARD LPC AND LCDC INTERN

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
1	101YP2500X	Professional Counselor	76534	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366933244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY KAY HUFF-HOWARD LPC AND LCDC INTERN

Provider Business Mailing Address
First Line	:	500 MASON ST
Second Line	:
City	:	TOMBALL
State	:	TX
Zip	:	77375-4450
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 HOUSTON ST
Second Line	:
City	:	TOMBALL
State	:	TX
Zip	:	77375-4759
Country	:	US
Telephone Number	:	281-255-9922
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2018
Last Update Date	:	05/25/2018

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