Individual
D'JUAN HUDDLESTON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11890 HIDDEN LAKE DR, SAINT LOUIS, MO 63138-1202
(314) 503-4526
Mailing address
11890 HIDDEN LAKE DR, SAINT LOUIS, MO 63138-1202
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2018030957
MO
104100000X
Social Worker
—
—
Other
Enumeration date
04/13/2017
Last updated
01/18/2021
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