Individual
BEVERLY LYNN HUCKABA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6460 HARRISON AVE, CINCINNATI, OH 45247-7957
(513) 941-4999
(513) 694-0168
Mailing address
6460 HARRISON AVE STE 200, CINCINNATI, OH 45247-7958
(513) 941-4999
(513) 694-0168
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.183849
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0435111
—
OH
Enumeration date
03/04/2021
Last updated
12/05/2024
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