Provider Demographics
NPI:1306303102
Name:HUGS, TESSA JEANNETTE (LCPC)
Entity type:Individual
Prefix:
First Name:TESSA
Middle Name:JEANNETTE
Last Name:HUGS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1195
Mailing Address - Street 2:
Mailing Address - City:MILES CITY
Mailing Address - State:MT
Mailing Address - Zip Code:59301-1195
Mailing Address - Country:US
Mailing Address - Phone:406-951-3568
Mailing Address - Fax:
Practice Address - Street 1:14 N 8TH ST # 2
Practice Address - Street 2:
Practice Address - City:MILES CITY
Practice Address - State:MT
Practice Address - Zip Code:59301-3207
Practice Address - Country:US
Practice Address - Phone:406-951-3568
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-27
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCPC-LIC-37156101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health