Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARTY RAY HUCKINS, CAP, CCDC III, ICADC
ActiveAddiction (Substance Use Disorder) Counselor · GILLETTE, WY
Registration Details
- NPI Number
- 1356624019
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2011 (14.586793883398 yrs)
- Last Updated
- Sep 20, 2011
- License
-
052 (WY)
Practice Information
- Address
-
501 S BURMA AVEGILLETTE, WY, 827163426Browse WY providers · Browse ZIP 82716
- Phone
- 3076885000
- Fax
- 3076885015
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in GILLETTE, WY
| Name | Credential | NPI |
|---|---|---|
| MRS. BRENDA LAVONNE JACOB | MS, CCDC III, LAT | 1780812214 |
| WHITNEY NICHOLE HELLER | — | 1124766639 |
| STEPHEN HARBOUR | — | 1093424426 |
| RENEE HARNISH | MS, PAT | 1821856873 |
| STEFANIE KAE KAPINUS | PAT | 1992538425 |
| PENNY SUE HANSEN | — | 1699640946 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.