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NPI Code Detail

MEDICARE: MS. KIA MICHELE HUNTER M. S.

MEDICARE: MS. KIA MICHELE HUNTER M. S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorBH000321PA

General Provider Information

NPI Number : 1033546171
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KIA MICHELE HUNTER M. S.
Provider Business Mailing Address
First Line : 30 S 15TH ST STE 1550
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19102-4806
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 111 ELWYN RD
Second Line :
City : MEDIA
State : PA
Zip : 19063-4622
Country : US
Telephone Number : 267-666-7474
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2013
Last Update Date : 04/18/2025

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