Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | LPC008731 | GA |
Y | 101YP2500X | Professional Counselor | 8085 | LA |
NPI | 1003245630 |
---|---|
Provider Name | Destiny E'shunda Thomas Huff |
First Address | Lake Charles, LA 70601-7863 |
Second Address | Lake Charles, LA 70601-7863 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2013 |
Last Update Date | 03/02/2020 |