Jill Huckaby

NPI #1457763310 in Wagoner, Oklahoma

Provider Information

NPI Number: 1457763310
Entity Type: Individual
Name: Jill Huckaby
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: May 27, 2014
Last Updated: May 27, 2014

Practice Location

Address: 2109 S HIGHWAY 69
City: Wagoner
State: Oklahoma
ZIP Code: 74467-9310
Phone: (918) 485-0242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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