Provider Demographics
NPI:1316345168
Name:HUNTER, NANCY (MA LMHCA)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:HUNTER
Suffix:
Gender:F
Credentials:MA LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28921 NE 124TH ST
Mailing Address - Street 2:
Mailing Address - City:DUVALL
Mailing Address - State:WA
Mailing Address - Zip Code:98019-8002
Mailing Address - Country:US
Mailing Address - Phone:206-406-3580
Mailing Address - Fax:
Practice Address - Street 1:20205 144TH AVE NE
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-4451
Practice Address - Country:US
Practice Address - Phone:206-406-3580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-10
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60498221101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health