Individual provider · Type 1 NPI

Marty Ray Huckins, CAP, CCDC III, ICADC

Addiction (Substance Use Disorder) Counselor · Gillette, WY

NPI number 1356624019 Active

Practice location

501 S Burma Ave
Gillette, WY 82716-3426

Call (307) 688-5000 Map

Fax (307) 688-5015

Mailing address

501 South Burma Ave.
Gillette, WY 82716-3426

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X052 (WY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1356624019

Marty Ray Huckins, CAP, CCDC III, ICADC's National Provider Identifier is 1356624019, issued on Sep 20, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gillette, WY. The record was last updated on Sep 20, 2011.