Provider Demographics
NPI:1336819010
Name:HUCKETT, HEATHER GABRION
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:GABRION
Last Name:HUCKETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5493 NE LAURA CT
Mailing Address - Street 2:
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370-7814
Mailing Address - Country:US
Mailing Address - Phone:206-599-9425
Mailing Address - Fax:
Practice Address - Street 1:5493 NE LAURA CT
Practice Address - Street 2:
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370-7814
Practice Address - Country:US
Practice Address - Phone:206-599-9425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-15
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health