Provider Demographics
NPI:1013234483
Name:HUDDLES, LINDA S (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:S
Last Name:HUDDLES
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 ALLEGHENY AVE.
Mailing Address - Street 2:STE 1208
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-3919
Mailing Address - Country:US
Mailing Address - Phone:410-823-0090
Mailing Address - Fax:410-583-5553
Practice Address - Street 1:28 ALLEGHENY AVE.
Practice Address - Street 2:STE. 1208
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-3919
Practice Address - Country:US
Practice Address - Phone:410-823-0090
Practice Address - Fax:410-583-5553
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-26
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC0553101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional