Provider Demographics
NPI:1437147345
Name:HUWA, JUANITA JUNE (MA,, CAC III, LPC)
Entity Type:Individual
Prefix:MS
First Name:JUANITA
Middle Name:JUNE
Last Name:HUWA
Suffix:
Gender:F
Credentials:MA,, CAC III, LPC
Other - Prefix:MS
Other - First Name:JUNE
Other - Middle Name:
Other - Last Name:HUWA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA,CAC III, LPC
Mailing Address - Street 1:928 12TH ST
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80631-4024
Mailing Address - Country:US
Mailing Address - Phone:970-336-4908
Mailing Address - Fax:970-336-5000
Practice Address - Street 1:928 12TH ST
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80631-4024
Practice Address - Country:US
Practice Address - Phone:970-336-4908
Practice Address - Fax:970-336-5000
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2414101YA0400X
CO3328101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional