Doctor Name: | HAYLEE HUDGENS |
NPI Number: | 1831494830 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LSAC |
License Number: | 7023368-6006 |
Business Practice Address: | 8265 W 2700 S Magna, UT - 840441323 |
Business Phone Number: | 8013826583 |
Business Fax Number: | |
Mailing Address: | 3468 Appaloosa Way, EAGLE MOUNTAIN |
State: | UT |
Postal Code: | 840054398 |
Phone Number: | 8013802783 |
Fax Number: | |
NPI Enumeration Date: | 01/21/2011 |
NPI Last Update Date: | 01/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 7023368-6006 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |