Provider Demographics
NPI:1114655115
Name:HUFFMAN, BRANDON (MA, NCC, CADC-I)
Entity Type:Individual
Prefix:
First Name:BRANDON
Middle Name:
Last Name:HUFFMAN
Suffix:
Gender:M
Credentials:MA, NCC, CADC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 DIVISION AVE # 375
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97404-2485
Mailing Address - Country:US
Mailing Address - Phone:541-321-0134
Mailing Address - Fax:503-961-1628
Practice Address - Street 1:541 WILLAMETTE ST STE 315
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2692
Practice Address - Country:US
Practice Address - Phone:541-321-0134
Practice Address - Fax:503-961-1628
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-09
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORR8721101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health