| Doctor Name: | MR. ANTHONY WARREN HUNNIUTT |
| NPI Number: | 1114096724 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LSW LAOC LICENSED SO |
| License Number: | 301004 |
| Business Practice Address: | 7590 Lyric Lane Ne Fridley, MN - 55432 |
| Business Phone Number: | 7632364509 |
| Business Fax Number: | 7632364370 |
| Mailing Address: | 1525 121st Ave Nw, COON RAPIDS |
| State: | MN |
| Postal Code: | 55448 |
| Phone Number: | 7637546696 |
| Fax Number: | |
| NPI Enumeration Date: | 11/07/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 301004 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |