Provider Demographics
NPI:1487736401
Name:HUNT, BOBBY DALE (LPC)
Entity type:Individual
Prefix:MR
First Name:BOBBY
Middle Name:DALE
Last Name:HUNT
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4415 W PIEDRAS DR
Mailing Address - Street 2:SUITE 208
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-1216
Mailing Address - Country:US
Mailing Address - Phone:210-733-9929
Mailing Address - Fax:210-733-9916
Practice Address - Street 1:4415 W PIEDRAS DR
Practice Address - Street 2:SUITE 208
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-1216
Practice Address - Country:US
Practice Address - Phone:210-733-9929
Practice Address - Fax:210-733-9916
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19693101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional