Provider Demographics
NPI:1306429436
Name:HUTH-FRETZ, ANN (LPCC-S)
Entity type:Individual
Prefix:MS
First Name:ANN
Middle Name:
Last Name:HUTH-FRETZ
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2437 S STATE ROUTE 231
Mailing Address - Street 2:
Mailing Address - City:TIFFIN
Mailing Address - State:OH
Mailing Address - Zip Code:44883-9314
Mailing Address - Country:US
Mailing Address - Phone:419-448-9119
Mailing Address - Fax:
Practice Address - Street 1:2437 S STATE ROUTE 231
Practice Address - Street 2:
Practice Address - City:TIFFIN
Practice Address - State:OH
Practice Address - Zip Code:44883-9314
Practice Address - Country:US
Practice Address - Phone:419-448-9119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-05
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0008271101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health