MR. MARTY RAY HUCKINS CAP CCDC III ICADC NPI 1356624019

NPI Information

  • NPI: 1356624019
  • Provider Name: MR. MARTY RAY HUCKINS, CAP, CCDC III, ICADC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 501 S BURMA AVE
    GILLETTE, WY
    ZIP 82716
  • Phone: (307) 688-5000

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NPI Details

MR. Marty Ray Huckins, CAP, CCDC III, ICADC is an addiction (substance use disorder) counselor in Gillette, WY. MR. Marty Ray Huckins, CAP, CCDC III, ICADC NPI is 1356624019. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

501 S BURMA AVE
GILLETTE, WY
ZIP 82716-426
Phone: (307) 688-5000
Fax: (307) 688-5015

The enumeration date for this NPI number is 9/20/2011 and was last updated on 9/20/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)052WYOMINGYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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