Individual
THOMAS HUDDLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 CITY VIEW DR, STE 302, EVANSTON, WY 82930-5327
(307) 789-7915
(307) 789-6009
Mailing address
350 CITY VIEW DR, STE 302, EVANSTON, WY 82930-5327
(307) 789-7915
(307) 789-6009
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-629
WY
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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