Dominique Huddleston Sr.
Marriage & Family Therapist in Roseville, CA. Individual provider (NPI-1).
NPI number1982151775
StatusActive
Last updated in NPPESSep 22, 2023
Details
- NPI
- 1982151775
- Entity type
- Individual (NPI-1)
- Name
- Dominique Huddleston Sr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 8, 2016
- Certification date
- Sep 22, 2023
- Last updated
- Sep 22, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | – | – | Yes |
Practice location
1620 Santa Clara Dr Ste 100Roseville, CA 95661-3559
Phone 916-786-3750
Mailing address
1620 Santa Clara Dr Ste 100Roseville, CA 95661-3559
Phone 916-786-3750
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 494 Marriage & Family Therapist providers in Roseville · All 6,478 providers in Roseville
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