Provider Demographics
NPI:1710546403
Name:HUGGINS, ELLEN G (CASAC)
Entity Type:Individual
Prefix:
First Name:ELLEN
Middle Name:G
Last Name:HUGGINS
Suffix:
Gender:F
Credentials:CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2263 PENFIELD RD
Mailing Address - Street 2:
Mailing Address - City:PENFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14526-1948
Mailing Address - Country:US
Mailing Address - Phone:585-377-1770
Mailing Address - Fax:
Practice Address - Street 1:835 W MAIN ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14611-2335
Practice Address - Country:US
Practice Address - Phone:585-467-2230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-06
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor