Individual
RICKY LEE HUGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
46100 LOVINGS LN, HEAVENER, OK 74937-9120
(479) 650-9691
Mailing address
46100 LOVINGS LN, HEAVENER, OK 74937-9120
(479) 650-9691
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1221
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20043221OA
—
OK
Enumeration date
06/01/2012
Last updated
03/25/2016
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