Doctor Name: | RICKY LEE HUGGINS |
NPI Number: | 1063773414 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LADC |
License Number: | 1221 |
Business Practice Address: | 46100 Lovings Ln Heavener, OK - 749379120 |
Business Phone Number: | 4796509691 |
Business Fax Number: | |
Mailing Address: | 46100 Lovings Ln, HEAVENER |
State: | OK |
Postal Code: | 749379120 |
Phone Number: | 4796509691 |
Fax Number: | |
NPI Enumeration Date: | 06/01/2012 |
NPI Last Update Date: | 03/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1221 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |