Individual
MS. KRISTINA GRACE HUDDLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
3220 TAYLOR AVE, NORTH LAS VEGAS, NV 89030-7262
(702) 466-8107
Mailing address
3037 AUSTIN PALE AVE, NORTH LAS VEGAS, NV 89081-6406
(702) 600-1519
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2582
NV
225400000X
Rehabilitation Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/01/2010
Last updated
11/30/2019
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