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Provider Information for 1174903876


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ASHLEY HUFFMAN LMSW


Sex: Female

NPI: 1174903876
Last Updated: 2024-09-12
Certification Date: 2024-09-12

Details

NameValue
NPI1174903876
Enumeration Date2015-06-08
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 41841 30TH ST
PAW PAW, MI 49079-9461
United States

Phone: 269-548-6836 | Fax:
 
Primary Practice Address 1000 OAKLAND DR
KALAMAZOO, MI 49008-1282
United States

Phone: 269-387-7039 | Fax:
 
Secondary Practice Address(es)

4341 S WESTNEDGE AVE STE 1203
KALAMAZOO, MI 49008-3284
United States

Phone: 269-823-2675 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 104100000X - Social Worker MI6801117343
No 101YA0400X - Counselor - Addiction (Substance Use Disorder)MI