Provider Demographics
NPI:1679165054
Name:HUCKABEE GUILLORY, ONDRIAH ANGELICA (MA, LPCC)
Entity type:Individual
Prefix:
First Name:ONDRIAH
Middle Name:ANGELICA
Last Name:HUCKABEE GUILLORY
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1632 MEADE AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92116-3952
Mailing Address - Country:US
Mailing Address - Phone:951-515-1244
Mailing Address - Fax:
Practice Address - Street 1:1632 MEADE AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92116-3952
Practice Address - Country:US
Practice Address - Phone:951-515-1244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-08
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional