Individual
ANNETTE E HUDDLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CADC
Contact information
Practice address
425 E STATE ST, JACKSONVILLE, IL 62650-2125
(217) 408-1195
(217) 408-1231
Mailing address
425 E STATE ST, JACKSONVILLE, IL 62650-2125
(217) 408-1195
(217) 408-1231
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13872
IL
172V00000X
Community Health Worker
Primary
13872
IL
Other
Enumeration date
05/19/2022
Last updated
05/09/2025
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