| Doctor Name: | MRS. JENNIFER M HUDDLESTON |
| NPI Number: | 1285756668 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | LPC005784 |
| Business Practice Address: | 605 W Gordon St Thomaston, GA - 302863425 |
| Business Phone Number: | 7703585252 |
| Business Fax Number: | |
| Mailing Address: | 605 W Gordon St, THOMASTON |
| State: | GA |
| Postal Code: | 302863425 |
| Phone Number: | 7703585252 |
| Fax Number: | |
| NPI Enumeration Date: | 04/04/2007 |
| NPI Last Update Date: | 07/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC005784 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |