Provider Information for 1407320146
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ANNA HUDDLESTON LPC
Sex: Female
NPI: 1407320146
Last Updated: 2019-01-22
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1407320146 | ||||||||
| Enumeration Date | 2019-01-16 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1 COLUMBUS CTR STE 665 VIRGINIA BEACH, VA 23462-6722 United States Phone: 757-333-7523 | Fax: | ||||||||
| Primary Practice Address | 1 COLUMBUS CTR STE 665 VIRGINIA BEACH, VA 23462-6722 United States Phone: 757-333-7523 | Fax: | ||||||||
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