MEDICARE: JOHN HUNSINGER JR. LPC

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
1	101YP2500X	Professional Counselor	LPC010208	GA

General Provider Information

NPI Number	:	1558925594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN HUNSINGER JR. LPC

Provider Business Mailing Address
First Line	:	70 GRUBER LN STE 107
Second Line	:
City	:	ST SIMONS ISLAND
State	:	GA
Zip	:	31522-2888
Country	:	US
Telephone Number	:	770-807-2022
Fax Number	:

Provider Business Practice Location Address
First Line	:	3975 ROSWELL RD NE STE 102
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-4119
Country	:	US
Telephone Number	:	770-807-2022
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2019
Last Update Date	:	04/26/2019

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