Individual
MR. JOHN C. HUDDLESTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., LCSW, LMFT
Contact information
Practice address
6201 CONSTITUTION DR, FORT WAYNE, IN 46804-1517
(260) 432-0696
(260) 436-5795
Mailing address
6201 CONSTITUTION DR, FORT WAYNE, IN 46804-1517
(260) 432-0696
(260) 436-5795
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
34002486A
IN
101Y00000X
Counselor
35001206A
IN
Other
Enumeration date
08/30/2006
Last updated
10/15/2025
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