Individual
JAMES HUCKLEBY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC III, RA
Contact information
Practice address
1409 E LIVINGSTON AVE, COLUMBUS, OH 43205-2926
(614) 253-4448
(614) 253-5005
Mailing address
1409 E LIVINGSTON AVE, COLUMBUS, OH 43205-2926
(614) 253-4448
(614) 253-5005
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101116
OH
106S00000X
Behavior Technician
4417
OH
Other
Enumeration date
03/17/2017
Last updated
03/17/2017
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