Provider Information for 1629774682
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MELISSA HUFFMAN LPCC
Other Names:Other Name:MERAN HUFFMANSex: Female
NPI: 1629774682
Last Updated: 2023-11-09
Certification Date: 2023-11-09
Certification Date: 2023-11-09
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1629774682 | ||||||||
| Enumeration Date | 2023-02-01 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 184 UNSER BLVD NE RIO RANCHO, NM 87124-4045 United States Phone: 505-443-2173 | Fax: | ||||||||
| Primary Practice Address | 184 UNSER BLVD NE RIO RANCHO, NM 87124-4045 United States Phone: 505-443-2173 | Fax: | ||||||||
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