Provider Demographics
NPI:1679898878
Name:HUCKINS, ALEXANDRA POTTS (MA, LPC)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:POTTS
Last Name:HUCKINS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:TENNEY
Other - Last Name:POTTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1301 CARIA DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-1226
Mailing Address - Country:US
Mailing Address - Phone:303-554-0319
Mailing Address - Fax:
Practice Address - Street 1:1301 CARIA DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-1226
Practice Address - Country:US
Practice Address - Phone:303-554-0319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-30
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5311101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health