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Tracey Genine Huddleston
Mental Health Counselor in St Petersburg, Florida
NPI 1144522608

Tracey Genine Huddleston is a Mental Health Counselor based in St Petersburg, FL and is specialized in Mental Health. Tracey Genine Huddleston practices in St Petersburg, FL. The NPI Number for Tracey Genine Huddleston is 1144522608 and holds a License No. (Florida).

The current practice location address for Tracey Genine Huddleston is 5380 Mlk St S, St Petersburg, FL and can be reached out via phone at 727-235-9210 and via fax at 727-867-1395.

Location: 5380 Mlk St S, St Petersburg, FL, 33705-5110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144522608
Provider Name
Tracey Genine Huddleston
Credential
Provider Entity Type
Individual
Gender
Female
Address
5380 Mlk St S, St Petersburg, FL, 33705-5110
Phone Number
727-235-9210
Fax Number
727-867-1395
Provider Enumeration Date
12/03/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
688242196 05 FL
688242198 05 FL
institution
Provider Business Practice Location Address Details
Address
5380 Mlk St S
City
St Petersburg
State
Florida
Zip
33705-5110
Phone Number
727-235-9210
Fax Number
727-867-1395
person
Provider Business Mailing Address Details
Address
5380 Mlk St S
City
St Petersburg
State
Florida
Zip
33705-5110
Phone Number
727-235-9210
Fax Number
727-867-1395
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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