Provider Demographics
NPI:1790975779
Name:HULEN, JOSHUA C (MED, LPC, CRC, NCC)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:C
Last Name:HULEN
Suffix:
Gender:M
Credentials:MED, LPC, CRC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 E BROADWAY
Mailing Address - Street 2:SUITE 200A
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-6082
Mailing Address - Country:US
Mailing Address - Phone:573-214-2253
Mailing Address - Fax:573-474-5683
Practice Address - Street 1:2100 E BROADWAY
Practice Address - Street 2:SUITE 200A
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-6082
Practice Address - Country:US
Practice Address - Phone:573-214-2253
Practice Address - Fax:573-474-5683
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-26
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006009842101Y00000X, 101YA0400X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health