Provider Demographics
NPI:1871167254
Name:HUGGINS, VERONICA CLARIS (LSW)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:CLARIS
Last Name:HUGGINS
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7018 SAND CHERRY LN
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47715-8468
Mailing Address - Country:US
Mailing Address - Phone:770-363-9206
Mailing Address - Fax:
Practice Address - Street 1:734 W DELAWARE ST STE 225
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47710-1667
Practice Address - Country:US
Practice Address - Phone:812-660-9200
Practice Address - Fax:812-618-1050
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN33008164A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health