Provider Demographics
NPI:1932256419
Name:HUGGARD, JAIME LORRAINE (LPC)
Entity Type:Individual
Prefix:
First Name:JAIME
Middle Name:LORRAINE
Last Name:HUGGARD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:JAIME
Other - Middle Name:LORRAINE
Other - Last Name:ESTES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:PO BOX 512
Mailing Address - Street 2:
Mailing Address - City:FARMVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23901-0512
Mailing Address - Country:US
Mailing Address - Phone:434-214-0244
Mailing Address - Fax:
Practice Address - Street 1:1703 GILLIAM DR
Practice Address - Street 2:
Practice Address - City:FARMVILLE
Practice Address - State:VA
Practice Address - Zip Code:23901-2359
Practice Address - Country:US
Practice Address - Phone:434-244-0244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2021-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004088101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health