Basic Information
| Provider Information | |||||||||
| NPI: | 1891937868 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HUFFMAN | ||||||||
| FirstName: | DOLORES | ||||||||
| MiddleName: | JEAN | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | MA/ED.S, LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 213 BRISTOL ST | ||||||||
| Address2: | |||||||||
| City: | MORGANTON | ||||||||
| State: | NC | ||||||||
| PostalCode: | 286553118 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8287575685 | ||||||||
| FaxNumber: | 8287575681 | ||||||||
| Practice Location | |||||||||
| Address1: | 2415 MORGANTON BLVD SW | ||||||||
| Address2: | |||||||||
| City: | LENOIR | ||||||||
| State: | NC | ||||||||
| PostalCode: | 286459691 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8287575685 | ||||||||
| FaxNumber: | 8287575681 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/06/2009 | ||||||||
| LastUpdateDate: | 04/06/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 7326 | NC | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.