Doctor Name: | CASSIE RUTH HUFFMAN |
NPI Number: | 1467750653 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 0174571 |
Business Practice Address: | 1110 E High St Tucumcari, NM - 884012510 |
Business Phone Number: | 5754614411 |
Business Fax Number: | 5754614102 |
Mailing Address: | Po Box 28220, SANTA FE |
State: | NM |
Postal Code: | 875928220 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/11/2011 |
NPI Last Update Date: | 03/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 0174571 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |