Individual
JOHN W HUNTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CACII
Contact information
Practice address
122 45TH ST NE, WASHINGTON, DC 20019-4614
(202) 750-2872
Mailing address
11003 TYRONE DR, UPPER MARLBORO, MD 20772-4636
(240) 441-9086
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CACII1103
DC
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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