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Thomas Huddleston

Counselor, Mental Health in Evanston, WY. Individual provider (NPI-1).

NPI number1295977213
StatusActive
Last updated in NPPESApr 6, 2009

Details

NPI
1295977213
Entity type
Individual (NPI-1)
Name
Thomas Huddleston
Sex
Male
Sole proprietor
No
Enumeration date
Apr 6, 2009
Last updated
Apr 6, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthLPC-629WYYes

Practice location

350 City View Dr
Ste 302
Evanston, WY 82930-5327

Phone 307-789-7915 · Fax 307-789-6009

Mailing address

350 City View Dr
Ste 302
Evanston, WY 82930-5327

Phone 307-789-7915 · Fax 307-789-6009

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