Individual
MRS. NICOLE ANN HUDGENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1307 W MAIN ST, MARION, IL 62959-1139
(618) 997-5336
(618) 993-2969
Mailing address
9604 HERRIN RD, JOHNSTON CITY, IL 62951-2523
(618) 997-5336
(618) 993-2969
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.004892
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
180.004892
IL
101YM0800X
Mental Health Counselor
180.004892
IL
Other
Enumeration date
04/06/2010
Last updated
05/11/2010
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