MEDICARE: JUSTIN HUFT LMFT

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	106H00000X	Marriage & Family Therapist	107802	CA

General Provider Information

NPI Number	:	1871231225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTIN HUFT LMFT

Provider Business Mailing Address
First Line	:	PO BOX 231
Second Line	:
City	:	RIALTO
State	:	CA
Zip	:	92377-0231
Country	:	US
Telephone Number	:	949-257-9094
Fax Number	:

Provider Business Practice Location Address
First Line	:	6296 MAGNOLIA AVE # 1062
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92506-2526
Country	:	US
Telephone Number	:	949-274-9721
Fax Number	:

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

Provider Enumeration Date	:	05/25/2022
Last Update Date	:	06/28/2022

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