Doctor Name: | JODY L. HUNTER |
NPI Number: | 1265573604 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LADC |
License Number: | LADC # 3923 |
Business Practice Address: | 26 Thomas Ave Caribou, ME - 047361742 |
Business Phone Number: | 2073251605 |
Business Fax Number: | 2074922129 |
Mailing Address: | Po Box 308, CARIBOU |
State: | ME |
Postal Code: | 047360308 |
Phone Number: | 2073251605 |
Fax Number: | 2074922129 |
NPI Enumeration Date: | 02/09/2007 |
NPI Last Update Date: | 07/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | LADC # 3923 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |