Isaac Donnell Huddleston, LPC Valid NPI
Individual provider · Counselor · Hazelwood, MO
- NPI
- 1972773646
- Type
- Individual (Type 1)
- Primary specialty
- Counselor
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101Y00000X
- License number
- 2008004281 (MO)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2008-03-09
- Last updated
- 2021-09-23
Practice location
392 Chez Paree Dr
Hazelwood, MO 63042-3539
(314) 833-7080