Provider Demographics
NPI:1780097519
Name:HUGHES, THERESA LYNN
Entity type:Individual
Prefix:
First Name:THERESA
Middle Name:LYNN
Last Name:HUGHES
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 1:2185 BALDWIN AVE
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95966-5312
Mailing Address - Country:US
Mailing Address - Phone:530-532-0713
Mailing Address - Fax:
Practice Address - Street 1:2185 BALDWIN AVE
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95966-5312
Practice Address - Country:US
Practice Address - Phone:530-532-0713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-10
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker