Provider Demographics
NPI:1902615933
Name:HUDDLESTON, NATALIE JEANNE (MSED, M IN MFT)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:JEANNE
Last Name:HUDDLESTON
Suffix:
Gender:F
Credentials:MSED, M IN MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1308 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-2719
Mailing Address - Country:US
Mailing Address - Phone:708-858-3560
Mailing Address - Fax:219-663-6155
Practice Address - Street 1:1308 N MAIN ST
Practice Address - Street 2:
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307-2719
Practice Address - Country:US
Practice Address - Phone:708-858-3560
Practice Address - Fax:219-663-6155
Is Sole Proprietor?:No
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist