Doctor Name: | ANDREW HUYS |
NPI Number: | 1386090223 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 304327 |
Business Practice Address: | 6200 Excelsior Blvd Ste 203 Saint Louis Park, MN - 554162734 |
Business Phone Number: | 9525489356 |
Business Fax Number: | |
Mailing Address: | 6200 Excelsior Blvd Ste 203, SAINT LOUIS PARK |
State: | MN |
Postal Code: | 554162734 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/10/2016 |
NPI Last Update Date: | 05/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 304327 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |