Individual
MRS. JENNIFER M HUDDLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
165 BRADFORD SQ STE D, FAYETTEVILLE, GA 30215-1960
(678) 410-6874
Mailing address
165 BRADFORD SQ STE D, FAYETTEVILLE, GA 30215-1960
(678) 410-6874
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APC001502
GA
101YP2500X
Professional Counselor
Primary
LPC005784
GA
Other
Enumeration date
04/04/2007
Last updated
07/17/2024
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