Provider Demographics
NPI:1932445988
Name:HUFFMAN, HANNAH L (MA, LPC)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:L
Last Name:HUFFMAN
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:L
Other - Last Name:WOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 351
Mailing Address - Street 2:
Mailing Address - City:FRUITA
Mailing Address - State:CO
Mailing Address - Zip Code:81521-0351
Mailing Address - Country:US
Mailing Address - Phone:970-541-0603
Mailing Address - Fax:
Practice Address - Street 1:551 GRAND AVE STE 203
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-2694
Practice Address - Country:US
Practice Address - Phone:970-541-0603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-19
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0011316101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional