Doctor Name: | JUDITH L HUNT |
NPI Number: | 1144247016 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | LPC003832 |
Business Practice Address: | 1705 Boulevard Sq Suite A Waycross, GA - 315018031 |
Business Phone Number: | 9122834026 |
Business Fax Number: | 9122834028 |
Mailing Address: | 1705 Boulevard Sq, Suite A WAYCROSS |
State: | GA |
Postal Code: | 315018031 |
Phone Number: | 9122834026 |
Fax Number: | 9122834028 |
NPI Enumeration Date: | 07/16/2006 |
NPI Last Update Date: | 08/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC003832 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |