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Individual

JILL HUCKEBA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1525 MONTICELLO HWY, GRAY, GA 31032-3119
(478) 986-1691
(478) 741-9033
Mailing address
1525 MONTICELLO HWY, GRAY, GA 31032-3119
(478) 986-1691
(478) 741-9033

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC003780
GA

Other

Enumeration date
07/16/2006
Last updated
07/08/2007
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