Provider Demographics
NPI:1255756987
Name:HUGGINS, DAMIEN JAMALL (MED)
Entity type:Individual
Prefix:MR
First Name:DAMIEN
Middle Name:JAMALL
Last Name:HUGGINS
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:74 SAVIN ST
Mailing Address - Street 2:APARTMENT 3
Mailing Address - City:ROXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02119-2129
Mailing Address - Country:US
Mailing Address - Phone:617-800-4029
Mailing Address - Fax:
Practice Address - Street 1:199 ROSEWOOD DR
Practice Address - Street 2:SUITE 250
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-1398
Practice Address - Country:US
Practice Address - Phone:978-867-7756
Practice Address - Fax:978-524-7106
Is Sole Proprietor?:No
Enumeration Date:2014-03-05
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA5AD68C61-7914-4309-8101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health