Provider Demographics
NPI:1346411725
Name:HULING, JYNGER MORRIS (LPC)
Entity Type:Individual
Prefix:MS
First Name:JYNGER
Middle Name:MORRIS
Last Name:HULING
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:JYNGER
Other - Middle Name:MARIE
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:2109 N PATTERSON ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31602-2990
Mailing Address - Country:US
Mailing Address - Phone:229-232-4833
Mailing Address - Fax:229-245-9805
Practice Address - Street 1:2109 N PATTERSON ST
Practice Address - Street 2:SUITE B
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-2990
Practice Address - Country:US
Practice Address - Phone:229-232-4833
Practice Address - Fax:229-245-9805
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-13
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005191101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA435682271CMedicaid