Provider Demographics
NPI:1992920763
Name:HUNTER, MARGARET ROSE (MFT)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:ROSE
Last Name:HUNTER
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MS
Other - First Name:MARGARET
Other - Middle Name:ROSE
Other - Last Name:TWOHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFT
Mailing Address - Street 1:221 WALDEN ST
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95354-2636
Mailing Address - Country:US
Mailing Address - Phone:209-549-9279
Mailing Address - Fax:209-522-3554
Practice Address - Street 1:1311 E ST
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95354-2411
Practice Address - Country:US
Practice Address - Phone:209-575-3324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC40445106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist