MR. ANDRE MICHAEL HUDDLESTON NPI 1881041002

NPI Information

NPI: 1881041002
Provider Name: MR. ANDRE MICHAEL HUDDLESTON
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
11879 FIRE AGATE WAY
RANCHO CORDOVA, CA
ZIP 95742
Phone: (916) 549-0821
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MR. Andre Michael Huddleston is a mental health counselor in Rancho Cordova, CA. MR. Andre Michael Huddleston NPI is 1881041002. 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:

11879 FIRE AGATE WAY
RANCHO CORDOVA, CA
ZIP 95742-068
Phone: (916) 549-0821

The enumeration date for this NPI number is 5/17/2016 and was last updated on 12/12/2019.

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
1	101YM0800X	Counselor	Mental Health	171M00000X	CALIFORNIA	Yes
2	171M00000X	Case Manager/Care Coordinator				No

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: 11/14/2023

NPI Synchronization or Removal

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