Provider Demographics
NPI:1902245137
Name:HUHN, REBECCA JANE (LLMSW)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:JANE
Last Name:HUHN
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1259 BRIGGSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:FOWLERVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48836-8229
Mailing Address - Country:US
Mailing Address - Phone:517-294-6694
Mailing Address - Fax:
Practice Address - Street 1:1259 BRIGGSVILLE RD
Practice Address - Street 2:
Practice Address - City:FOWLERVILLE
Practice Address - State:MI
Practice Address - Zip Code:48836-8229
Practice Address - Country:US
Practice Address - Phone:517-294-6694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-20
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010928651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical