Provider Demographics
NPI:1417789132
Name:HUCKINS, CADEN RENEE (LMFT-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:CADEN
Middle Name:RENEE
Last Name:HUCKINS
Suffix:
Gender:M
Credentials:LMFT-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12055 SABO RD APT 133
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-6284
Mailing Address - Country:US
Mailing Address - Phone:512-923-1005
Mailing Address - Fax:
Practice Address - Street 1:12055 SABO RD APT 133
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6284
Practice Address - Country:US
Practice Address - Phone:512-923-1005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX205586106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist