MEDICARE: HANNAH L HUFFMAN MA, LPC

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	LPC.0011316	CO

General Provider Information

NPI Number	:	1932445988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH L HUFFMAN MA, LPC

Provider Business Mailing Address
First Line	:	PO BOX 351
Second Line	:
City	:	FRUITA
State	:	CO
Zip	:	81521-0351
Country	:	US
Telephone Number	:	970-541-0603
Fax Number	:

Provider Business Practice Location Address
First Line	:	551 GRAND AVE STE 203
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81501-2694
Country	:	US
Telephone Number	:	970-541-0603
Fax Number	:

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

Provider Enumeration Date	:	12/19/2012
Last Update Date	:	07/23/2020

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