Individual
AMANDA HUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW, LSUDC
Contact information
Practice address
1425 S 700 E STE 102, SALT LAKE CITY, UT 84105-2125
(385) 313-0055
Mailing address
111 E HILLSIDE AVE, SALT LAKE CITY, UT 84103-4611
(801) 971-8572
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13598703-6006
UT
1041C0700X
Clinical Social Worker
Primary
13598703-3502
UT
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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