Doctor Name: | CANDACE L HUNSUCKER |
NPI Number: | 1083987283 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 00006428 |
Business Practice Address: | 17018 15th Ave Ne Shoreline, WA - 981555126 |
Business Phone Number: | 2063691224 |
Business Fax Number: | |
Mailing Address: | 3016a Ne 140th St, SEATTLE |
State: | WA |
Postal Code: | 981253532 |
Phone Number: | 2069799781 |
Fax Number: | |
NPI Enumeration Date: | 02/17/2012 |
NPI Last Update Date: | 02/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 00006428 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |