Provider Demographics
NPI:1962724963
Name:HUGHES, RITA V (LMFT)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:V
Last Name:HUGHES
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 2ND ST #8
Mailing Address - Street 2:
Mailing Address - City:PROCTOR
Mailing Address - State:MN
Mailing Address - Zip Code:55810-2201
Mailing Address - Country:US
Mailing Address - Phone:218-576-3622
Mailing Address - Fax:218-751-3298
Practice Address - Street 1:8 N 2ND AVE E
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55802-2102
Practice Address - Country:US
Practice Address - Phone:218-576-3622
Practice Address - Fax:218-751-3298
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-18
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2075106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist